Contract Changes [39635, 2024-04-01]

Contract Number	41
Brand Code	39635
Drug	VALEX 199.8MG\|87MG CR TAB (INC) SODIUM VALPROATE\|VALPROIC AC
LAgent Code	AHI
Package Size	3X10
Formulary Category	A
Package Price	13.16
Protocol Monthly Max	90
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2023-10-03