Contract Changes [B071D, 2024-04-02]

Contract Number	41
Brand Code	B071D
Drug	QUETRA 500MG TAB (REM) LEVETIRACETA
LAgent Code	SBI
Package Size	30'S
Formulary Category	BQ
Package Price	11.77
Protocol Monthly Max	120
Drug Contract Start Date	2024-04-02
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-04-02