Drugs available on Contract - [CUTIVATE 0.05% CR (GSK) FLUTICASONE], []

Contract Number	42
Brand Code	3301AD
Brand Name	CUTIVATE 0.05% CR (GSK) FLUTICASONE
Active Ingredient	FLUTICASONE
Trade Name	CUTIVATE
Package Size	15G
Formulary Category	C
Pkg Price	13.48
Unit Price	13.48
Strength	0.05%
Unit Description	TUBE
Max. Reimbursable Quantity / Month	2
Package Description	BOX
Manufacturer Code	GSK
Manufacturer Name	GLAXOSMITHKLINE
Agent Code	COL
Agent Name	AVENTA BARBADOS
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode	APPLY OD
SIGFactor	1
Dentist Allowed	N
Therapeutic Code	8406
Therapeutic Desc	ANTI-INFLAMMATORY AGENTS, TOPICAL
Status Description
Default Route	TOPICAL
Max Repeats	0
Therapeutic Head	ANTI-INFLAMMATORY AGENTS, TOPICAL
Amend Date