Contract Changes [2841GC, 2024-04-01]

Contract Number	41
Brand Code	2841GC
Drug	LAFINE 500MG XR TAB (LDP) METFORMIN XR
LAgent Code	AHI
Package Size	500'S
Formulary Category	A
Package Price	34.88
Protocol Monthly Max	120
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-06-06
Contract Changed
Change Date	2024-04-25