Contract Changes [6561G, 2022-04-01]

Contract Number	40
Brand Code	6561G
Drug	PENTASA 500MG TAB (FER/STO) MESALAZINE
LAgent Code	STO
Package Size	50'S
Formulary Category	BQ
Package Price	89.22
Protocol Monthly Max	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Contract Changed	Package Size Change
Change Date	2022-03-18