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

Contract Number	41
Brand Code	3653CE
Brand Name	FLUTICASONE 27.5MCG NASAL SP (CIR)
Active Ingredient	FLUTICASONE
Trade Name	FLUTICASONE
Package Size	200 DOSES
Formulary Category	A
Pkg Price	14.14
Unit Price	14.1353
Strength	27.5MCG
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	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
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