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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
42 5591C SOLYEAR 8.4% EAR DR (JLP) PARADICHLOROBENZENE 10ML A 5.44 8.4% 1 2026-04-01 No No 6