|
|
42
|
5533W
|
COVAM 10MG|160MG TAB (GET) AMLODIPINE|VALSARTAN
|
14'S
|
A
|
0.10
|
10MG|160MG
|
30
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
42
|
5533X
|
AMLOSHIP-VL 10MG|160MG TAB (FSB) AMLODIPINE|VALSARTAN
|
10X10
|
A
|
0.16
|
10MG|160MG
|
30
|
2026-04-01
|
|
No
|
No
|
Add to Contract as Cat A
|
6
|
|
|
40
|
55341
|
EXFORGE 10MG | 320MG TAB (NVS/COL) AMLODIPINE | V
|
14'S
|
C
|
1.20
|
10MG|320MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
55341
|
EXFORGE 10MG|320MG TAB (NVS) AMLODIPINE| (C)
|
2X7'S
|
C
|
1.198
|
10MG|320MG
|
30
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
55341
|
EXFORGE 10MG|320MG TAB (NVS) AMLOD (C)
|
2X7'S
|
C
|
1.01
|
10MG|320MG
|
30
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
40
|
55343
|
AMLOSHIP-VL 10MG | 320MG TAB (FSB/ATB) AMLODIPI
|
10X10
|
A
|
0.40
|
10MG|320MG
|
30
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
55343
|
AMLOSHIP-VL 10MG|320MG TAB (FSB) AMLODIP (C)
|
10X10
|
A
|
0.4026
|
10MG|320MG
|
30
|
2024-04-01
|
2025-03-31
|
|
|
|
6
|
|
|
41
|
55343
|
AMLOSHIP-VL 10MG|320MG TAB (FSB) AMLODIP
|
10X10
|
A
|
0.4026
|
10MG|320MG
|
30
|
2024-10-17
|
2025-03-31
|
|
|
|
6
|
|
|
40
|
5534B
|
AMLODIPINE | VALSARTAN 10MG | 320MG TAB (MCP/AHI)
|
10X10
|
A
|
0.35
|
10MG|320MG
|
30
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
5534B
|
AMLODIPINE|VALSARTAN 10MG|320MG TAB (MCP)
|
10X10
|
A
|
0.3017
|
10MG|320MG
|
30
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
5534J
|
AMLODIPINE|VALSARTAN 10MG|320MG TAB (ZYP)
|
10X10
|
A
|
0.30
|
10MG|320MG
|
30
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
42
|
5534N
|
AMLOSHIP-VL 10MG|320MG TAB (FSB) AMLODIPINE|VALSARTAN
|
10X10
|
A
|
0.30
|
10MG|320MG
|
30
|
2026-04-01
|
|
No
|
No
|
Add to Contract as Cat A
|
6
|
|
|
40
|
55351
|
EXFORGE 5MG | 320MG TAB (NVS/COL) AMLODIPINE | VA
|
14'S
|
C
|
0.83
|
5MG|320MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
55351
|
EXFORGE 5MG|320MG TAB (NVS) AMLODIPINE|V (C)
|
14'S
|
C
|
0.8272
|
5MG|320MG
|
30
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
55351
|
EXFORGE 5MG|320MG TAB (NVS) AMLODI (C)
|
14'S
|
C
|
0.55
|
5MG|320MG
|
30
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
40
|
55353
|
AMLOSHIP-VL 5MG | 320MG TAB (FSB/ATB) AMLODIPIN
|
10X10
|
A
|
0.40
|
5MG|320MG
|
30
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
55353
|
AMLOSHIP-VL 5MG|320MG TAB (FSB) AMLODIPI (C)
|
10X10
|
C
|
0.3838
|
5MG|320MG
|
30
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
40
|
5535B
|
AMLODIPINE | VALSARTAN 5MG | 320MG TAB (MCP/AHI)
|
10X10
|
A
|
0.34
|
5MG|320MG
|
30
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
5535B
|
AMLODIPINE|VALSARTAN 5MG|320MG TAB (MCP)
|
10X10
|
A
|
0.2925
|
5MG|320MG
|
30
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
5535L
|
AMLOSHIP-VL 5MG|320MG TAB (FSB) AMLODIPINE|VALSARTAN
|
10X10
|
A
|
0.28
|
5MG|320MG
|
30
|
2026-04-01
|
|
No
|
No
|
Add to Contract as Cat A
|
6
|