Contract Changes [2561S, 2022-04-01]

Contract Number	40
Brand Code	2561S
Drug	DIMENHYDRINATE 50MG TAB (FSB/ATB)
LAgent Code	ATB
Package Size	10X10
Formulary Category	A
Package Price	5.08
Protocol Monthly Max	180
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-09-30
Contract Changed
Change Date	2022-03-30