Contract Changes [7722CP , 2024-12-28]

Contract Number	41
Brand Code	7722CP
Drug	AMOXICILLIN\|CLAVULANIC ACID 875MG\|125MG TAB (MCP) (B)
LAgent Code	AHI
Package Size	2X10
Formulary Category	B
Package Price	8.09
Protocol Monthly Max	21
Drug Contract Start Date	2024-12-28
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-12-27