Contract Changes [A6812, 2022-04-01]

Contract Number	40
Brand Code	A6812
Drug	COMBIVIR 150MG \| 300MG TAB (GSK/COL) LAMIVUDINE \| ZIDOVUDINE
LAgent Code	COL
Package Size	60'S
Formulary Category	BL
Package Price	135.02
Protocol Monthly Max	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2022-05-31
Contract Changed	Delete from contract
Change Date	2022-04-19