Contracted Products [AVEXA 30MG TAB (MBL/AHI) DEFLAZACORT]

Contract Number	40
Brand Name	AVEXA 30MG TAB (MBL/AHI) DEFLAZACORT
Package Size	1X10
Formulary Category	C
Unit Price	2.90
Strength	30MG
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Add to Contract as Cat C
Max Repeats	0