Contracted Products [OTRIVINE 0.05% NASAL DR (GSK) XYLOMETAZO (C)]

Contract Number	41
Brand Name	OTRIVINE 0.05% NASAL DR (GSK) XYLOMETAZO (C)
Package Size	10ML
Formulary Category	C
Unit Price	4.9473
Strength	0.05%
Max. Reimbursable / Month	1
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0