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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 27856 OESTROGENS CONJUGATED 0.3MG TAB (KW 100'S A 1.0536 0.3MG 28 2024-04-01 2026-03-31 6