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Contract Number Brand Code Brand Name Active Ingredient Trade Name Package Size Formulary Category Pkg Price Unit Price Unit Description Max. Reimbursable Quantity / Month Package Description Manufacturer Code Manufacturer Name Agent Code Agent Name Benefit Therapeutic Code Therapeutic Desc Drug Contract Start Date Drug Contract End Date Status Description Default Route Max Repeats Therapeutic Head Amend Date
42 5813GT NIFEDIPINE 20MG SR TAB (HEA) NIFEDIPINE NIFEDIPINE 10X10 A 4.00 0.04 TAB 180 BLIS HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE B 242892 CCBs, MISCELLANEOUS 2026-04-01 Add to Contract as Cat A ORAL 6 CCBs, MISCELLANEOUS 2026-01-26
42 5813GU NIFEDIPINE 20MG SR TAB (HEA) NIFEDIPINE NIFEDIPINE 10X10 A 4.00 0.04 TAB 180 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD B 242808 DIHYDROPYRIDINES 2026-04-01 Add to Contract as Cat A ORAL 6 DIHYDROPYRIDINES 2026-02-27
42 5813GV VERAPAMIL 240MG SR TAB (FSB) VERAPAMIL VERAPAMIL 10X10 A 16.72 0.17 TAB 60 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD B 242808 DIHYDROPYRIDINES 2026-04-01 Add to Contract as Cat A ORAL 6 DIHYDROPYRIDINES 2026-03-09
40 58148 AMLODIPINE 5MG TAB (HEA/RXP) AMLODIPINE AMLODIPINE 10X10 A 2.09 0.02 TABLET 45 TAB HEA HEALTH 2000 INC RXP RX PRO INC B 242808 DIHYDROPYRIDINES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 5814AA NORVASC 5MG TAB (PFI/STO) AMLODIPINE AMLODIPINE NORVASC 30'S C 17.51 0.58 TABLET 0 TAB PFI PFIZER CORPORATION STO BRYDEN STOKES LTD B 242808 DIHYDROPYRIDINES 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS
41 5814AA NORVASC 5MG TAB (PFI) AMLODIPINE (C) AMLODIPINE NORVASC 30'S C 17.67 0.589 TAB 45 BOTT PFI PFIZER CORPORATION STO BRYDEN STOKES LTD B 242808 DIHYDROPYRIDINES 2024-04-01 2026-03-31 ORAL 6 DIHYDROPYRIDINES
40 5814AG AMLODIPINE 5MG TAB (RYV/ALW) AMLODIPINE AMLODIPINE 10X10 A 2.42 0.02 TABLET 45 TAB RYV RYVIS PHARMA PVT. LTD ALW ALTIMAR WHOLESALERS INC B 242808 DIHYDROPYRIDINES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 5814BD AMLOTENSIVE 5MG TAB (CAR/COL) AMLODIPINE AMLODIPINE AMLOTENSIVE 360'S A 10.19 0.03 TABLET 45 TAB CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 242808 DIHYDROPYRIDINES 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
41 5814BD AMLOTENSIVE 5MG TAB (CAR) AMLODIPIN AMLODIPINE AMLOTENSIVE 360'S A 9.51 0.0264 TAB 45 BOTT CAR CARLISLE LABORATORIES LTD COL COLLINS LTD B 242808 DIHYDROPYRIDINES 2024-04-01 2026-03-31 ORAL 6 DIHYDROPYRIDINES
42 5814BD AMLOTENSIVE 5MG TAB (CAR) AMLODIPIN AMLODIPINE AMLOTENSIVE 360'S A 9.51 0.03 TAB 60 BOTT CAR CARLISLE LABORATORIES LTD COL AVENTA BARBADOS B 242808 DIHYDROPYRIDINES 2026-04-01 ORAL 6 DIHYDROPYRIDINES
40 5814BW VERAPAMIL 40MG TAB (REM/SBI) VERAPAMIL VERAPAMIL 2X10 A 1.90 0.10 TABLET 90 TAB REM REMEDICA LTD SBI MASSY DISTRIBUTION (BDOS) LTD B 242892 CCBs, MISCELLANEOUS 2022-04-01 2024-03-31 Oral 6 CARDIOVASCULAR DRUGS
40 5814BZ AMLODIPINE 5MG TAB (HEA/ATB) AMLODIPINE AMLODIPINE 10X10 A 2.09 0.0209 TABLET IMMED HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD B 242808 DIHYDROPYRIDINES 2022-12-07 2024-03-31 Change Local Agent oral 6 DIHYDROPYRIDINES 2022-11-25
41 5814BZ AMLODIPINE 5MG TAB (HEA) AMLODIPINE AMLODIPINE 10X10 A 2.36 0.0236 TAB 45 BOX HEA HEALTH 2000 INC ATB ANSA TRADING BARBADOS LTD B 242808 DIHYDROPYRIDINES 2024-04-01 2026-03-31 ORAL 6 DIHYDROPYRIDINES
42 5814CJ AMLODIPINE 5MG TAB (HEA) AMLODIPINE AMLODIPINE 10X10 A 2.28 0.02 TAB 60 BLIS HEA HEALTH 2000 INC AHI ARMSTRONG HEALTHCARE INC B 242808 DIHYDROPYRIDINES 2026-04-01 Price Change ORAL 6 DIHYDROPYRIDINES 2025-10-31
41 5814F VERAPAMIL 40MG TAB (TEV) VERAPAMIL VERAPAMIL 84'S A 6.61 0.0786 TAB 90 BOTT TEV TEVA UK LTD. COL COLLINS LTD B 242892 CCBs, MISCELLANEOUS 2024-04-01 2026-03-31 ORAL 6 CCBs, MISCELLANEOUS
42 5814FB AMLODIPINE 5MG TAB (HEA) AMLODIPINE AMLODIPINE 10X10 A 2.28 0.02 TAB 60 HEA HEALTH 2000 INC CWS CAPSULE WHOLESALE B 242808 DIHYDROPYRIDINES 2026-04-01 Add to Contract as Cat A ORAL 6 DIHYDROPYRIDINES 2026-01-26
42 5814FC AMLODIPINE 5MG TAB (HEA) AMLODIPINE AMLODIPINE 10X10 A 2.28 0.02 TAB 60 HEA HEALTH 2000 INC STO BRYDEN STOKES LTD B 242808 DIHYDROPYRIDINES 2026-04-01 Add to Contract as Cat A ORAL 6 DIHYDROPYRIDINES 2026-02-27
42 5814FD VERAPAMIL 40MG TAB (FSB) VERAPAMIL VERAPAMIL 10X10 A 5.25 0.05 TAB 90 FSB FLAGSHIP BIOTECH STO BRYDEN STOKES LTD B 242808 DIHYDROPYRIDINES 2026-04-01 Add to Contract as Cat A ORAL 6 DIHYDROPYRIDINES 2026-03-05
42 5814GQ NORVASC 5MG TAB (PFI) AMLODIPINE AMLODIPINE NORVASC 30'S C 17.67 0.59 TAB 60 BLIS PFI PFIZER CORPORATION COL AVENTA BARBADOS B 242808 DIHYDROPYRIDINES 2026-04-01 ORAL 6 DIHYDROPYRIDINES
40 5814R NORVASC 5MG TAB (PFI/SBI) AMLODIPINE AMLODIPINE NORVASC 30'S C 17.51 0.58 TABLET 0 TAB PFI PFIZER CORPORATION SBI MASSY DISTRIBUTION (BDOS) LTD B 242808 DIHYDROPYRIDINES 2022-04-01 2024-03-31 Oral 0 CARDIOVASCULAR DRUGS