Contracted Products [OTRIVINE MDI 0.1% NASAL SP (GSK/COL) XYLOMETA]

Contract Number	40
Brand Name	OTRIVINE MDI 0.1% NASAL SP (GSK/COL) XYLOMETA
Package Size	10ML
Formulary Category	C
Unit Price	4.38
Strength	0.1%
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
Max Repeats	0