Contract Changes [4073X, 2022-04-01]

Contract Number	40
Brand Code	4073X
Drug	POENTIMOL 0.5% EYE DR (LPO/COL) TIMOLOL
LAgent Code	COL
Package Size	5ML
Formulary Category	C
Package Price	5.44
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 C
Change Date	2022-04-01