Contract Changes [3653P , 2024-04-01]

Contract Number	41
Brand Code	3653P
Drug	FLIXONASE 50MCG NASAL SP (GSK) FLUTICASO
LAgent Code	COL
Package Size	120 DOSES
Formulary Category	A
Package Price	13.67
Protocol Monthly Max	1
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-07-25
Contract Changed
Change Date	2024-06-13