Contract Changes [5201FT , 2024-07-23]

Contract Number	41
Brand Code	5201FT
Drug	LIFESTYLES SKYN ORIGINAL (ANS) CO
LAgent Code	SBI
Package Size	3'S
Formulary Category	C
Package Price	5.89
Protocol Monthly Max	0
Drug Contract Start Date	2024-07-23
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-07-22