Contract Changes [B6211, 2024-04-01]

Contract Number	41
Brand Code	B6211
Drug	GLYXAMBI 25MG\|5MG TAB (BOE) EMPAGL (C)
LAgent Code	STO
Package Size	30'S
Formulary Category	C
Package Price	118.79
Protocol Monthly Max	0
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-01-02