Contracted Products [FLUTICASONE 125MCG INHR (CHC)]

Contract Number	42
Brand Name	FLUTICASONE 125MCG INHR (CHC)
Package Size	120 DOSES
Formulary Category	A
Unit Price	8.21
Strength	125MCG
Max. Reimbursable / Month	1
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description	Add to Contract as Cat A
Max Repeats	6