Contract Changes [37419, 2022-04-01]

Contract Number	40
Brand Code	37419
Drug	OSMITROL 10% INJ (BAX/STO) MANNITOL
LAgent Code	STO
Package Size	500ML
Formulary Category	B
Package Price	12.75
Protocol Monthly Max	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Contract Changed	Add to Contract as Cat B
Change Date	2022-04-01