Contract Changes [5281BV, 2022-04-01]

Contract Number	40
Brand Code	5281BV
Drug	APROCIN 0.3% EYE DR (ARP/AHI) CIPROFLOXACIN
LAgent Code	AHI
Package Size	10ML
Formulary Category	BH
Package Price	8.15
Protocol Monthly Max	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-09-30
Contract Changed
Change Date	2022-03-29