Contract Changes [43574 , 2024-04-01]

Contract Changes [43574 , 2024-04-01]

Contract Number	41
Brand Code	43574
Drug	BOTTLE, GLASS RX, 150ML AMBER (BEA)
LAgent Code	COL
Package Size	84'S
Formulary Category	B
Package Price	41.97
Protocol Monthly Max	4
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2025-01-28
Contract Changed
Change Date	2024-12-17