Drugs available on Contract - [FLUTICA 0.05% CR (ARP)], []

Contract Number	42
Brand Code	3301BJ
Brand Name	FLUTICA 0.05% CR (ARP)
Active Ingredient	FLUTICASONE
Trade Name	FLUTICA
Package Size	10G
Formulary Category	A
Pkg Price	3.26
Unit Price	3.26
Strength	0.05%
Unit Description	TUBE
Max. Reimbursable Quantity / Month	2
Package Description	TUBE
Manufacturer Code	ARP
Manufacturer Name	ARISTOPHARMA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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
SIGFactor	0
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