Drugs available on Contract - [BUDESONIDE 64MCG NASAL SP (CIR)], []

Contract Number	42
Brand Code	3653CD
Brand Name	BUDESONIDE 64MCG NASAL SP (CIR)
Active Ingredient	BUDESONIDE
Trade Name	BUDESONIDE
Package Size	200 DOSES
Formulary Category	A
Pkg Price	14.43
Unit Price	14.43
Strength	64MCG
Unit Description	BOTT
Max. Reimbursable Quantity / Month	1
Package Description	BOTT
Manufacturer Code	CIR
Manufacturer Name	CIRON PHARMA
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	5208
Therapeutic Desc	EENT ANTI-INFLAMMATORY AGENTS
Status Description
Default Route	NASAL
Max Repeats	6
Therapeutic Head	EENT ANTI-INFLAMMATORY AGENTS
Amend Date