Contract Changes [1763L, 2022-04-01]

Contract Number	40
Brand Code	1763L
Drug	PROMETHAZINE 25MG/ML INJ (ROL/AHI)
LAgent Code	AHI
Package Size	25X1ML
Formulary Category	B
Package Price	204.04
Protocol Monthly Max	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-09-30
Contract Changed
Change Date	2022-03-29