Contract Changes [A531BF, 2024-04-01]

Contract Number	41
Brand Code	A531BF
Drug	XALATAN 0.005% EYE DR (PFI) LATANOPROST
LAgent Code	COL
Package Size	2.5ML
Formulary Category	A
Package Price	8.86
Protocol Monthly Max	2
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2025-04-01