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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 A741L AAP-MEFLOQUINE 250MG TAB (APO/COL) MEFLOQUINE 8'S A 1.92 250MG 8 2022-04-01 2024-03-31 6
41 A741N AAP-MEFLOQUINE 250MG TAB (APO) MEFL 8'S A 1.9606 250MG 8 2024-04-01 2026-03-31 6