Contracted Products [OTRIVINE 0.05% NASAL DR (GSK/COL) XYLOMETAZOL]

Contract Number	40
Brand Name	OTRIVINE 0.05% NASAL DR (GSK/COL) XYLOMETAZOL
Package Size	10ML
Formulary Category	A
Unit Price	4.70
Strength	0.05%
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	0