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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
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
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