Drugs available on Contract - [VYMADA 97MG|103MG TAB (NVS) SACUBITRIL|VALSARTAN], []

Contract Number	42
Brand Code	B4813
Brand Name	VYMADA 97MG\|103MG TAB (NVS) SACUBITRIL\|VALSARTAN
Active Ingredient	SACUBITRIL\|VALSARTAN
Trade Name	VYMADA
Package Size	28'S
Formulary Category	B
Pkg Price	48.93
Unit Price	1.75
Strength	97MG\|103MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	60
Package Description	BLIS
Manufacturer Code	NVS
Manufacturer Name	NOVARTIS CARIBE SA
Agent Code	COL
Agent Name	AVENTA BARBADOS
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date	2028-03-31
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	243208
Therapeutic Desc	ANGIOTENSIN II RECEPTOR ANTAGONIST
Status Description
Default Route	ORAL
Max Repeats	6
Therapeutic Head	ANGIOTENSIN II RECEPTOR ANTAGONIST
Amend Date