Contract Changes [B4511 , 2024-06-01]

Contract Changes [B4511 , 2024-06-01]

Contract Number	41
Brand Code	B4511
Drug	NATRIXAM 5MG\|1.5MG MR TAB (SER) AM (C)
LAgent Code	STO
Package Size	30'S
Formulary Category	C
Package Price	7.39
Protocol Monthly Max	30
Drug Contract Start Date	2024-06-01
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-06-01