Drugs available on Contract - [TWYNSTA 5MG|80MG TAB (BOE) AMLODIP (C)], []

Contract Number	42
Brand Code	55314
Brand Name	TWYNSTA 5MG\|80MG TAB (BOE) AMLODIP (C)
Active Ingredient	AMLODIPINE\|TELMISARTAN
Trade Name	TWYNSTA
Package Size	28'S
Formulary Category	A
Pkg Price	25.12
Unit Price	0.90
Strength	5MG\|80MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	30
Package Description	BLIS
Manufacturer Code	BOE
Manufacturer Name	BOEHRINGER INGELHEIM
Agent Code	STO
Agent Name	BRYDEN STOKES LTD
Benefit	B
Benefit Cat Code	Anti-Hypertensive
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode	1TOD
SIGFactor	1
Dentist Allowed	N
Therapeutic Code	240892
Therapeutic Desc	HYPOTENSIVE AGENTS, MISCELLANEOUS
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	HYPOTENSIVE AGENTS, MISCELLANEOUS
Amend Date