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Contracted Products [MEQUITAZINE, 0408]
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Displaying 1 - 2 of 2
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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
41
0012AN
MEQUILAN 5MG TAB (CAR/COL) MEQUITAZINE
112'S
A
0.3786
5MG
28
0
40
0012AN
MEQUILAN 5MG TAB (CAR/COL) MEQUITAZINE
112'S
A
0.38
5MG
28
2022-04-01
2024-03-31
0