Contracted Products [SYMBICORT RAPIHALER 160MCG | 4.5MCG INHR (AZN/COL) BUDESONIDE

Contracted Products [SYMBICORT RAPIHALER 160MCG | 4.5MCG INHR (AZN/COL) BUDESONIDE | FORMOTEROL (120 R)]

Contract Number	40
Brand Name	SYMBICORT RAPIHALER 160MCG \| 4.5MCG INHR (AZN/COL) BUDESONIDE \| FORMOTEROL (120 R)
Package Size	120 DOSES
Formulary Category	A
Unit Price	37.68
Strength	160MCG\|4.5MCG
Max. Reimbursable / Month	1
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6