Contract Changes [30828, 2022-04-01]

Contract Number	40
Brand Code	30828
Drug	PRIVIGEN 10% INJ (CSL/AHI) IMMUNOGLOBULIN
LAgent Code	AHI
Package Size	100ML
Formulary Category	BQ
Package Price	1,413.53
Protocol Monthly Max	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-05-10
Contract Changed
Change Date	2022-03-29