Contracted Products [AROFLO 125MCG | 25MCG INHR (ARP/AHI) FLUTICASON]

Contract Number	40
Brand Name	AROFLO 125MCG \| 25MCG INHR (ARP/AHI) FLUTICASON
Package Size	120 DOSES
Formulary Category	A
Unit Price	21.67
Strength	125MCG\|25MCG
Max. Reimbursable / Month	1
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-06-30
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6