Contracted Products [COMBIWAVE 250MCG | 25MCG INHR (GLP/ALI) FLUTICASONE

Contracted Products [COMBIWAVE 250MCG | 25MCG INHR (GLP/ALI) FLUTICASONE | SALMETEROL]

Contract Number	40
Brand Name	COMBIWAVE 250MCG \| 25MCG INHR (GLP/ALI) FLUTICASONE \| SALMETEROL
Package Size	150 DOSES
Formulary Category	C
Unit Price	32.62
Strength	250MCG\|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