Drugs available on Contract - [SERETIDE MDI 50/25 INH (GSK) FLUTICASONE], []

Contract Number	41
Brand Code	A3941
Brand Name	SERETIDE MDI 50/25 INH (GSK) FLUTICASONE
Active Ingredient	FLUTICASONE\|SALMETEROL
Trade Name	SERETIDE MDI
Package Size	120 DOSES
Formulary Category	A
Pkg Price	53.01
Unit Price	53.0073
Strength	50MCG\|25MCG
Unit Description	INHR
Max. Reimbursable Quantity / Month	1
Package Description	BOX
Manufacturer Code	GSK
Manufacturer Name	GLAXOSMITHKLINE
Agent Code	COL
Agent Name	COLLINS LTD
Benefit	B
Benefit Cat Code	Anti-Asthmatic
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	4892
Therapeutic Desc	RESPIRATORY AGENTS MISCELLANEOUS
Status Description
Default Route	ORAL INHALATION
Max Repeats	6
Therapeutic Head	RESPIRATORY AGENTS MISCELLANEOUS
Amend Date