Contract Changes [2961AB, 2022-04-01]

Contract Number	40
Brand Code	2961AB
Drug	LANOSTERONE 5MG TAB (LDP/AHI) NORETHISTERONE
LAgent Code	AHI
Package Size	100'S
Formulary Category	A
Package Price	12.37
Protocol Monthly Max	90
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-09-30
Contract Changed
Change Date	2022-03-29