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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 40712 TIMOLOL EX 0.25% EYE DR (FSB/ATB) 5ML A 1.09 0.25% 1 2022-04-01 2024-03-31 Price Change 6