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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 2392B PMS-RISEDRONATE 35MG TAB (PMS/COL) 4'S C 3.74 35MG 0 2022-04-01 2024-03-31 0
41 2392C APO-RISEDRONATE 35MG TAB (APO) (C) 4'S C 2.4261 35MG 0 2024-04-01 2026-03-31 0