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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 1383D VERMOR SR 30MG TAB (VEV/AHI) MORPHINE SULPHATE SR 10X10 A 0.65 30MG 30 2022-04-01 2024-03-31 2