Contract Changes [A671AY, 2022-04-01]

Contract Number	40
Brand Code	A671AY
Drug	BREATHEZY CHEWABLE 5MG TAB (MSN/AHI) MONTELUK
LAgent Code	AHI
Package Size	3X10
Formulary Category	A
Package Price	3.13
Protocol Monthly Max	30
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-09-30
Contract Changed
Change Date	2022-03-29