Contract Changes [5282F, 2022-04-01]

Contract Number	40
Brand Code	5282F
Drug	T-MYCIN 0.3% OINT (ARP/AHI) TOBRAMYCIN
LAgent Code	AHI
Package Size	3G
Formulary Category	BH
Package Price	10.00
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