Contract Changes [59311, 2022-04-06]

Contract Number	40
Brand Code	59311
Drug	PROCORALAN 5MG TAB (SER/STO) IVABRADINE
LAgent Code	STO
Package Size	28'S
Formulary Category	C
Package Price	60.87
Protocol Monthly Max	0
Drug Contract Start Date	2022-04-06
Drug Contract End Date	2024-03-31
Contract Changed	Package Size Change
Change Date	2022-04-06