Contract Changes [4144EB, 2026-04-01]

Contract Number	42
Brand Code	4144EB
Drug	DICLOFENAC SODIUM 100MG SR TAB (HEA)
LAgent Code	AHI
Package Size	10X10
Formulary Category	A
Package Price	7.39
Protocol Monthly Max	14
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Contract Changed	Price Change
Change Date	2025-10-31