Contract Changes [5201N, 2022-06-14]

Contract Number	40
Brand Code	5201N
Drug	LIFESTYLES STUDDED (ANS/SBI) CONDOM
LAgent Code	SBI
Package Size	3'S
Formulary Category	C
Package Price	6.16
Protocol Monthly Max	0
Drug Contract Start Date	2022-06-14
Drug Contract End Date	2024-03-31
Contract Changed	Price Change
Change Date	2022-06-13