Drugs available on Contract - [SYSTANE ULTRA 0.4%|0.3% EYE DR (ALC) POLYETHYLENE GLYCOL 400], []
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42
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4701AT
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SYSTANE ULTRA 0.4%|0.3% EYE DR (ALC) POLYETHYLENE GLYCOL 400
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POLYETHYLENE GLYCOL 400|PROPYLENE GLYCOL
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SYSTANE ULTRA
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10ML
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C
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15.33
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15.33
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0.4%|0.3%
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BOTT
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1
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BOTT
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ALC
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ALCON LABORATORIES INC.
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AHI
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ARMSTRONG HEALTHCARE INC
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A
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2026-04-01
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2028-03-31
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No
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No
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0
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N
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5292
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EENT DRUGS MISCELLANEOPUS
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OPHTHALMIC
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6
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EENT DRUGS MISCELLANEOPUS
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