Contract Changes [B5012 , 2024-07-17]

Contract Number	41
Brand Code	B5012
Drug	ANORO ELLIPTA 55MCG\|22MCG INHR (GSK) UMECLIDINIUM\|VILANTEROL (BQ)
LAgent Code	COL
Package Size	30 DOSES
Formulary Category	BQ
Package Price	163.94
Protocol Monthly Max	1
Drug Contract Start Date	2024-07-17
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-07-17