Drugs available on Contract - [FLIXONASE 50MCG NASAL SP (GSK) FLUTICASO], []

Contract Number	41
Brand Code	3653P
Brand Name	FLIXONASE 50MCG NASAL SP (GSK) FLUTICASO
Active Ingredient	FLUTICASONE
Trade Name	FLIXONASE
Package Size	120 DOSES
Formulary Category	A
Pkg Price	13.67
Unit Price	13.6732
Strength	50MCG
Unit Description	BOTT
Max. Reimbursable Quantity / Month	1
Package Description	BOTT
Manufacturer Code	GSK
Manufacturer Name	GLAXOSMITHKLINE
Agent Code	COL
Agent Name	COLLINS LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-07-25
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	2024-06-13