Drugs available on Contract - [AVAMYS 27.5MCG NASAL SP (GSK) FLUTICASONE], []

Contract Number	42
Brand Code	3653BJ
Brand Name	AVAMYS 27.5MCG NASAL SP (GSK) FLUTICASONE
Active Ingredient	FLUTICASONE
Trade Name	AVAMYS
Package Size	120 DOSES
Formulary Category	C
Pkg Price	29.33
Unit Price	29.33
Strength	27.5MCG
Unit Description	BOTT
Max. Reimbursable Quantity / Month	1
Package Description	BOTT
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
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