Contract Changes [5533H, 2023-06-06]

Contract Number	40
Brand Code	5533H
Drug	AMLODIPINE\|VALASARTAN 10MG\|160MG TAB (MCP)
LAgent Code	AHI
Package Size	10X10
Formulary Category	A
Package Price	$14.98
Protocol Monthly Max	30
Drug Contract Start Date	2023-06-06
Drug Contract End Date	2024-03-31
Contract Changed	A
Change Date	2023-06-09