Contract Changes [17231 , 2025-01-01]

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	2025-01-01
Drug Contract End Date	2025-01-31
Contract Changed
Change Date	2024-12-31