Contract Changes [5201FT , 2024-04-01]

Contract Number	41
Brand Code	5201FT
Drug	LIFESTYLES SKYN ORIGINAL (ANS) CO
LAgent Code	SBI
Package Size	3'S
Formulary Category	C
Package Price	5.0289
Protocol Monthly Max	0
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-07-22
Contract Changed
Change Date	2024-07-22