Contracted Products [AVAMYS 27.5MCG NASAL SP (GSK) FLUTICASON (C)]

Contract Number	41
Brand Name	AVAMYS 27.5MCG NASAL SP (GSK) FLUTICASON (C)
Package Size	120 DOSES
Formulary Category	C
Unit Price	26.6668
Strength	27.5MCG
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	6