Contract Changes [A481F, 2024-12-19]

Contract Number	41
Brand Code	A481F
Drug	ISOSORBIDE MONONITRATE 10MG TAB (WAT)
LAgent Code	AHI
Package Size	56'S
Formulary Category	A
Package Price	41.97
Protocol Monthly Max	90
Drug Contract Start Date	2024-12-19
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-12-19