Contract Changes [46121 , 2024-04-01]

Contract Number	41
Brand Code	46121
Drug	IMOVAX POLIO (AVP) POLIOMYELITIS
LAgent Code	COL
Package Size	1 DOSE
Formulary Category	B
Package Price	24.46
Protocol Monthly Max	1
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-10-21
Contract Changed
Change Date	2024-09-09