Contract Changes [77249, 2026-04-01]

Contract Number	42
Brand Code	77249
Drug	AUGMENTIN 80MG/ML\|11.4MG/ML SUSP (GSK) AMOXICILLIN\|CLAVULANI
LAgent Code	COL
Package Size	70ML
Formulary Category	B
Package Price	11.77
Protocol Monthly Max	140
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Contract Changed	Price Change
Change Date	2026-02-16