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

Contract Number	41
Brand Code	5201GL
Drug	LIFESTYLE MIXED RIDER (ANS) CONDOM
LAgent Code	SBI
Package Size	3'S
Formulary Category	C
Package Price	1.24
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