Drugs available on Contract

Displaying 1 - 20 of 124

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
40	55311	EXFORGE 5MG \| 80MG TAB (NVS/COL) AMLODIPINE \| VAL	AMLODIPINE\|VALSARTAN	EXFORGE	14'S	C	10.68	0.76	TABLET	0	TAB	NVS	NOVARTIS CARIBE SA	COL	COLLINS LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2022-04-01	2024-03-31		Oral	0	CARDIOVASCULAR DRUGS
41	55311	EXFORGE 5MG\|80MG TAB (NVS) AMLODIPINE\|VA (C)	AMLODIPINE\|VALSARTAN	EXFORGE	14'S	C	10.68	0.7631	TAB	60	BOX	NVS	NOVARTIS CARIBE SA	COL	COLLINS LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2024-04-01	2026-03-31		ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS
42	55311	EXFORGE 5MG\|80MG TAB (NVS) AMLODIP (C)	AMLODIPINE\|VALSARTAN	EXFORGE	14'S	C	9.65	0.69	TAB	60	BLIS	NVS	NOVARTIS CARIBE SA	COL	AVENTA BARBADOS	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2026-04-01			ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS
40	55314	TWYNSTA 5MG \| 80MG TAB (BOE/STO) AMLODIPINE \| TELMISARTAN	AMLODIPINE\|TELMISARTAN	TWYNSTA	28'S	A	25.12	0.90	TABLET	30	TAB	BOE	BOEHRINGER INGELHEIM	STO	BRYDEN STOKES LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2022-04-01	2024-03-31		Oral	6	CARDIOVASCULAR DRUGS
41	55314	TWYNSTA 5MG\|80MG TAB (BOE) AMLODIPINE\|TELMISARTAN	AMLODIPINE\|TELMISARTAN	TWYNSTA	28'S	A	25.12	0.897	TAB	30	BOX	BOE	BOEHRINGER INGELHEIM	STO	BRYDEN STOKES LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2024-04-01	2026-03-31		ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS
42	55314	TWYNSTA 5MG\|80MG TAB (BOE) AMLODIP (C)	AMLODIPINE\|TELMISARTAN	TWYNSTA	28'S	A	25.12	0.90	TAB	30	BLIS	BOE	BOEHRINGER INGELHEIM	STO	BRYDEN STOKES LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2026-04-01			ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS
42	55318	AMLOSHIP-VL 5MG\|80MG TAB (FSB) AMLODIPINE\|VALSARTAN	AMLODIPINE\|VALSARTAN	AMLOSHIP-VL	10X10	A	8.92	0.09	TAB	60		FSB	FLAGSHIP BIOTECH	STO	BRYDEN STOKES LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2026-04-01		Add to Contract as Cat A	ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS	2026-03-05
40	5531E	AMLOSHIP-VL 5MG \| 80MG TAB (FSB/ATB) AMLODIPINE	AMLODIPINE\|VALSARTAN	AMLOSHIP-VL	10X10	A	13.18	0.13	TABLET	30	TAB	FSB	FLAGSHIP BIOTECH	ATB	ANSA TRADING BARBADOS LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2022-04-01	2024-03-31		Oral	6	CARDIOVASCULAR DRUGS
41	5531E	AMLOSHIP-VL 5MG\|80MG TAB (FSB) AMLODIPIN (C)	AMLODIPINE\|VALSARTAN	AMLOSHIP-VL	10X10	C	13.24	0.1324	TAB	60	BOX	FSB	FLAGSHIP BIOTECH	ATB	ANSA TRADING BARBADOS LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2024-04-01	2026-03-31		ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS
40	5531N	AMLODIPINE \| VALSARTAN 5MG \| 80MG TAB (MCP/AHI)	AMLODIPINE\|VALSARTAN	AMLODIPINE\|VALSARTAN	10X10	A	10.82	0.11	TABLET	30	TAB	MCP	MACLEODS PHARMACEUTICALS LTD	AHI	ARMSTRONG HEALTHCARE INC	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2022-04-01	2024-03-31		Oral	6	CARDIOVASCULAR DRUGS
40	5531N	AMLODIPINE\|VALSARTAN 5MG\|80MG TAB (MCP)	AMLODIPINE\|VALSARTAN	AMLODIPINE\|VALSARTAN 5MG\|80MG TAB	100'S	A	$8.66	0.0833	TABLET	30	TAB	MCP	MACLEODS PHARMACEUTICAL LTD	AHI	ARMSTRONG HEALTHCARE INC	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2023-06-06	2024-03-31	A	ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS	2023-06-09
41	5531N	AMLODIPINE\|VALSARTAN 5MG\|80MG TAB (MCP)	AMLODIPINE\|VALSARTAN	AMLODIPINE\|VALSARTAN	10X10	A	9.27	0.0927	TAB	60	BOX	MCP	MACLEODS PHARMACEUTICALS LTD	AHI	ARMSTRONG HEALTHCARE INC	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2024-04-01	2026-03-31		ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS
40	55321	EXFORGE 5MG \| 160MG TAB (NVS/COL) AMLODIPINE \| VA	AMLODIPINE\|VALSARTAN	EXFORGE	14'S	C	10.68	0.76	TABLET	0	TAB	NVS	NOVARTIS CARIBE SA	COL	COLLINS LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2022-04-01	2024-03-31		Oral	0	CARDIOVASCULAR DRUGS
41	55321	EXFORGE 5MG\|160MG TAB (NVS) AMLODIPINE\|V (C)	AMLODIPINE\|VALSARTAN	EXFORGE	14'S	C	10.68	0.7631	TAB	60	BOX	NVS	NOVARTIS CARIBE SA	COL	COLLINS LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2024-04-01	2026-03-31		ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS
42	55321	EXFORGE 5MG\|160MG TAB (NVS) AMLODI (C)	AMLODIPINE\|VALSARTAN	EXFORGE	14'S	C	9.65	0.69	TAB	60	BLIS	NVS	NOVARTIS CARIBE SA	COL	AVENTA BARBADOS	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2026-04-01			ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS
40	55324	TWYNSTA 10MG \| 80MG TAB (BOE/STO) AMLODIPINE \| TELMISARTAN	AMLODIPINE\|TELMISARTAN	TWYNSTA	28'S	A	25.12	0.90	TABLET	30	TAB	BOE	BOEHRINGER INGELHEIM	STO	BRYDEN STOKES LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2022-04-01	2024-03-31		Oral	6	CARDIOVASCULAR DRUGS
41	55324	TWYNSTA 10MG\|80MG TAB (BOE) AMLODIPINE\|TELMISARTAN	AMLODIPINE\|TELMISARTAN	TWYNSTA	28'S	A	25.12	0.897	TAB	30	BOX	BOE	BOEHRINGER INGELHEIM	STO	BRYDEN STOKES LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2024-04-01	2026-03-31		ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS
42	55324	TWYNSTA 10MG\|80MG TAB (BOE) AMLODI (C)	AMLODIPINE\|TELMISARTAN	TWYNSTA	28'S	A	25.12	0.90	TAB	30	BLIS	BOE	BOEHRINGER INGELHEIM	STO	BRYDEN STOKES LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2026-04-01			ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS
40	5532A	AMLOSHIP-VL 5MG \| 160MG TAB (FSB/ATB) AMLODIPIN	AMLODIPINE\|VALSARTAN	AMLOSHIP-VL	10X10	A	19.71	0.20	TABLET	30	TAB	FSB	FLAGSHIP BIOTECH	ATB	ANSA TRADING BARBADOS LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2022-04-01	2024-03-31		Oral	6	CARDIOVASCULAR DRUGS
41	5532A	AMLOSHIP-VL 5MG\|160MG TAB (FSB) AMLODIPI (C)	AMLODIPINE\|VALSARTAN	AMLOSHIP-VL	10X10	C	19.76	0.1976	TAB	60	BOX	FSB	FLAGSHIP BIOTECH	ATB	ANSA TRADING BARBADOS LTD	B	240892	HYPOTENSIVE AGENTS, MISCELLANEOUS	2024-04-01	2026-03-31		ORAL	6	HYPOTENSIVE AGENTS, MISCELLANEOUS