Contract Changes [79913, 2024-11-11]

Contract Number	41
Brand Code	79913
Drug	BEROTEC N 100MCG INHR (BOE) FENOTEROL
LAgent Code	AHI
Package Size	200 DOSES
Formulary Category	A
Package Price	33.3
Protocol Monthly Max	1
Drug Contract Start Date	2024-11-11
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-11-11