Contract Changes [4352A, 2024-12-17]

Contract Number	41
Brand Code	4352A
Drug	BOTTLE, GLASS RX, 60ML AMBER (BEA) BOTTLES
LAgent Code	COL
Package Size	81'S
Formulary Category	B
Package Price	32.28
Protocol Monthly Max	4
Drug Contract Start Date	2024-12-17
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-12-17