Contract Changes [17231 , 2024-06-21]

Contract Number	41
Brand Code	17231
Drug	CONCERTA 18MG ER TAB (JAC) METHYLPHENIDATE
LAgent Code	STO
Package Size	30'S
Formulary Category	A
Package Price	130.43
Protocol Monthly Max	30
Drug Contract Start Date	2024-06-21
Drug Contract End Date	2024-07-31
Contract Changed
Change Date	2024-06-18