Contracted Products [NASACORT AQ 55MCG NASAL SP (SFA/COL) TRIAMCIN]

Contract Number	40
Brand Name	NASACORT AQ 55MCG NASAL SP (SFA/COL) TRIAMCIN
Package Size	120 DOSES
Formulary Category	A
Unit Price	12.23
Strength	55MCG
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