Drugs available on Contract - [RYNASE AQ 64MCG NASAL SP (CAR) BUDESONID], []

Contract Number	41
Brand Code	3653AJ
Brand Name	RYNASE AQ 64MCG NASAL SP (CAR) BUDESONID
Active Ingredient	BUDESONIDE
Trade Name	RYNASE AQ
Package Size	240 DOSES
Formulary Category	A
Pkg Price	16.26
Unit Price	16.2556
Strength	64MCG
Unit Description	BOTT
Max. Reimbursable Quantity / Month	1
Package Description	BOTT
Manufacturer Code	CAR
Manufacturer Name	CARLISLE LABORATORIES LTD
Agent Code	COL
Agent Name	COLLINS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	1
Dentist Allowed	N
Therapeutic Code	5208
Therapeutic Desc	EENT ANTI-INFLAMMATORY AGENTS
Status Description
Default Route	NASAL
Max Repeats	6
Therapeutic Head	EENT ANTI-INFLAMMATORY AGENTS
Amend Date