Contracted Products [FLIXOTIDE 125MCG INHR (GSK/COL) FLUTICASONE]

Contract Number	40
Brand Name	FLIXOTIDE 125MCG INHR (GSK/COL) FLUTICASONE
Package Size	60 DOSES
Formulary Category	A
Unit Price	17.21
Strength	125MCG
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	6