Contract Changes [0225H, 2022-04-01]

Contract Number	40
Brand Code	0225H
Drug	LACLOXA 500MG INJ (LDP/AHI) CLOXACILLIN
LAgent Code	AHI
Package Size	500MG VIAL
Formulary Category	B
Package Price	15.41
Protocol Monthly Max	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-09-30
Contract Changed
Change Date	2022-03-29