Contract Changes [A3939, 2022-04-01]

Contract Number	40
Brand Code	A3939
Drug	AROFLO 125MCG \| 25MCG INHR (ARP/AHI) FLUTICASON
LAgent Code	AHI
Package Size	120 DOSES
Formulary Category	A
Package Price	21.67
Protocol Monthly Max	1
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-06-30
Contract Changed
Change Date	2022-03-29