Contract Changes [16058, 2022-06-01]

Contract Number	40
Brand Code	16058
Drug	DIAZEPAM 5MG/ML IV/IM INJ (RTM/PHA)
LAgent Code	PHA
Package Size	10X2ML
Formulary Category	B
Package Price	21.96
Protocol Monthly Max	0
Drug Contract Start Date	2022-06-01
Drug Contract End Date	2024-03-31
Contract Changed	Price Change
Change Date	2022-05-31