Contract Changes [1351F, 2024-04-01]

Contract Number	41
Brand Code	1351F
Drug	RESTRIVA 500MG TAB (TRO) METAMIZOL
LAgent Code	AHI
Package Size	150'S
Formulary Category	A
Package Price	21.77
Protocol Monthly Max	30
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-03-11