Contract Changes [36223, 2024-09-27]

Contract Number	41
Brand Code	36223
Drug	PROLOPA 50MG\|200MG TAB (ROC) BENSERAZIDE\|LEVODOPA
LAgent Code	AHI
Package Size	30'S
Formulary Category	A
Package Price	30.15
Protocol Monthly Max	240
Drug Contract Start Date	2024-09-27
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-09-27