Contract Changes [A7026, 2022-04-01]

Contract Number	40
Brand Code	A7026
Drug	PILOCARPINE \| TIMOLOL 4% \| 0.5% EYE DR (FSB/ATB)
LAgent Code	ATB
Package Size	5ML
Formulary Category	A
Package Price	7.04
Protocol Monthly Max	1
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Contract Changed	Price Change
Change Date	2021-12-08