Contracted Products [COMBIWAVE 125/25 INHR (GLP/ALI) FLUTICASONE/S]

Contract Number	40
Brand Name	COMBIWAVE 125/25 INHR (GLP/ALI) FLUTICASONE/S
Package Size	120 DOSES
Formulary Category	C
Unit Price	27.18
Strength	125MCG\|25MCG
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-03-22
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description	Delete from contract
Max Repeats	0