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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 5591A CERUMOL EAR DR (THR/SBI) PROPYLENE GLYCOL | TU 11ML A 4.35 |10% 1 2022-04-01 2024-03-31 6