Drugs available on Contract - [SEROFLO 250MCG|25MCG MDI (CIP) FLUTICASONE|SALMETEROL], []

Contract Number	41
Brand Code	A3966
Brand Name	SEROFLO 250MCG\|25MCG MDI (CIP) FLUTICASONE\|SALMETEROL
Active Ingredient	FLUTICASONE\|SALMETEROL
Trade Name	SEROFLO
Package Size	120 DOSES
Formulary Category	A
Pkg Price	37.92
Unit Price	37.9206
Strength	250MCG\|25MCG
Unit Description	INHR
Max. Reimbursable Quantity / Month	1
Package Description	BOX
Manufacturer Code	CIP
Manufacturer Name	CIPLA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
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