Contracted Products [MOMETASONE 50MCG NASAL SP (BCH/COL) ]

Contract Number	40
Brand Name	MOMETASONE 50MCG NASAL SP (BCH/COL)
Package Size	140 DOSES
Formulary Category	A
Unit Price	9.08
Strength	50MCG
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	Add to Contract as Cat A
Max Repeats	6