Drugs available on Contract - [AMLOSHIP-VL 5MG|320MG TAB (FSB) AMLODIPI (C)], []

Contract Number	41
Brand Code	55353
Brand Name	AMLOSHIP-VL 5MG\|320MG TAB (FSB) AMLODIPI (C)
Active Ingredient	AMLODIPINE\|VALSARTAN
Trade Name	AMLOSHIP-VL
Package Size	10X10
Formulary Category	C
Pkg Price	38.38
Unit Price	0.3838
Strength	5MG\|320MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	30
Package Description	BOX
Manufacturer Code	FSB
Manufacturer Name	FLAGSHIP BIOTECH
Agent Code	ATB
Agent Name	ANSA TRADING BARBADOS LTD
Benefit	B
Benefit Cat Code	Anti-Hypertensive
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
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