Contract Changes [12011, 2022-04-01]

Contract Number	40
Brand Code	12011
Drug	COSOPT 2%\|0.5% EYE DR (MSD/STO) DORZOLA (C)
LAgent Code	STO
Package Size	5ML
Formulary Category	C
Package Price	24.76
Protocol Monthly Max
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-12-31
Contract Changed	Delete from contract
Change Date	2022-12-31