Contract Changes [17231 , 2024-04-01]

Contract Number	41
Brand Code	17231
Drug	CONCERTA 18MG ER TAB (JAC) METHYLP (C)
LAgent Code	STO
Package Size	30'S
Formulary Category	C
Package Price	130.43
Protocol Monthly Max	42
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-06-20
Contract Changed
Change Date	2024-06-18