Contract Changes [3261U , 2024-04-01]

Contract Changes [3261U , 2024-04-01]

Contract Number	41
Brand Code	3261U
Drug	POVIDONE IODINE 1% SOLN (RYV) (B)
LAgent Code	ATB
Package Size	500ML
Formulary Category	B
Package Price	13.51
Protocol Monthly Max	500
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-06-18
Contract Changed
Change Date	2024-06-18