Contract Changes [3791K , 2024-04-01]

Contract Number	41
Brand Code	3791K
Drug	ZYRTEC-D 5MG\|120MG TAB (GSK) CETIRIZINE\|PSEUDOEPHEDRINE (C)
LAgent Code	COL
Package Size	10'S
Formulary Category	C
Package Price	16.31
Protocol Monthly Max	0
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2025-02-18
Contract Changed
Change Date	2025-01-07