Contract Changes [4582T, 2026-04-01]

Contract Number	42
Brand Code	4582T
Drug	BERIATE 500IU INJ (CSL) FACTOR VIII
LAgent Code	AHI
Package Size	500IU VIAL
Formulary Category	BQ
Package Price	244.65
Protocol Monthly Max	12
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Contract Changed	Add to Contract
Change Date	2025-11-10