Contract Changes [A371V, 2024-05-06]

Contract Number	41
Brand Code	A371V
Drug	AZOPT 1% DROPS (NVS) BRINZOLAMIDE
LAgent Code	COL
Package Size	5ML BOTT
Formulary Category	A
Package Price	14.61
Protocol Monthly Max	1
Drug Contract Start Date	2024-05-06
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-05-06