Contract Changes [0212BQ, 2024-04-03]

Contract Number	41
Brand Code	0212BQ
Drug	IMIPENEM/CILASTATIN \|500MG INJ (LDP) CILASTATIN\|IMIPENEM
LAgent Code	AHI
Package Size	1 DOSE
Formulary Category	BQ
Package Price	27.56
Protocol Monthly Max
Drug Contract Start Date	2024-04-03
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-04-03