Contract Changes [2565T, 2022-04-01]

Contract Number	40
Brand Code	2565T
Drug	DIMENHYDRINATE 50MG/ML IV/IM INJ (MON/PHA)
LAgent Code	PHA
Package Size	5ML
Formulary Category	B
Package Price	2.20
Protocol Monthly Max	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Contract Changed
Change Date	2021-12-17