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Contract Number Brand Code Brand Name Active Ingredient Trade Name Package Size Formulary Category Pkg Price Unit Price Unit Description Max. Reimbursable Quantity / Month Package Description Manufacturer Code Manufacturer Name Agent Code Agent Name Benefit Therapeutic Code Therapeutic Desc Drug Contract Start Date Drug Contract End Date Status Description Default Route Max Repeats Therapeutic Head Amend Date
40 59532 MINIMS PREDNISOLONE 0.5% (CHA/STO) PREDNISOLONE MINIMS PREDNISOLONE 20X0.5ML B 94.71 4.74 EYE DROP 0 AMP CHA CHAUVIN PHARMACEUTICAL LTD STO BRYDEN STOKES LTD 5208 EENT ANTI-INFLAMMATORY AGENTS 2022-04-01 2024-03-31 OPHTHALMIC 0 EYE, EAR, NOSE AND THROAT PREPARATIONS