Contract Changes [A393D, 2022-04-01]

Contract Number	40
Brand Code	A393D
Drug	COMBIWAVE 125MCG \| 25M INHR (GLP/ATB) FLUTICASONE \| SALMETEROL
LAgent Code	ATB
Package Size	120 DOSES
Formulary Category	C
Package Price	27.18
Protocol Monthly Max	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Contract Changed	Change Local Agent
Change Date	2022-03-22