Contracted Products [RELVAR ELLIPTA 200MCG|25MCG INHR (GSK) F]

Contract Number	41
Brand Name	RELVAR ELLIPTA 200MCG\|25MCG INHR (GSK) F
Package Size	30 DOSES
Formulary Category	A
Unit Price	46.0212
Strength	200MCG\|25MCG
Max. Reimbursable / Month	1
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6