Displaying 3581 - 3600 of 5993
Contract Number Brand Code Brand Name Package Size Formulary Category Unit Price Strength Max. Reimbursable / Month Drug Contract Start Date Drug Contract End Date Restrict To Ophthalmologist Restrict To Pulmonologist Status Description Max Repeats
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