Contract Changes [B2251 , 2024-04-01]

Contract Number	41
Brand Code	B2251
Drug	HUMULIN 70%\|30% INJ (LIL) INSULIN ISOPHANE\|INSULIN REGULAR
LAgent Code	STO
Package Size	10ML VIAL
Formulary Category	A
Package Price	21.23
Protocol Monthly Max	5
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2024-10-04
Contract Changed
Change Date	2024-08-23