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Contract Number Brand Code Brand Name Package Size Formulary Category Unit Price Strength Max. Reimbursable / Month Drug Contract Start Date Drug Contract End Date Restrict To Ophthalmologist Restrict To Pulmonologist Status Description Max Repeats
41 1602BC APO-CLOBAZAM 10MG TAB (APO) CLOBAZAM (B) 3X10 B 0.3235 10MG 60 2024-04-01 2026-03-31 6
40 1602E APO-CLOBAZAM 10MG TAB (APO/COL) 3X10 B 0.32 10MG 0 2022-04-01 2024-03-31 6