Contract Changes [37019, 2026-04-01]

Contract Number	42
Brand Code	37019
Drug	FREESTYLE OPTIUM GLUC (ABD) DIAGNOSTIC
LAgent Code	PHA
Package Size	50'S
Formulary Category	A
Package Price	42.13
Protocol Monthly Max	1
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Contract Changed	Price Change
Change Date	2025-10-08