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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
40 73713 APO-MEGESTROL 40MG TAB (APO/COL) 100'S C 0.54 40MG 0 2022-04-01 2024-03-31 0
41 7371D APO-MEGESTROL 40MG TAB (APO) (C) 100'S C 0.5464 40MG 0 2024-04-01 2026-03-31 0