Displaying 3821 - 3840 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
40 5811EV NORVASC 10MG TAB (PFI/SBI) AMLODIPINE 30'S C 0.70 10MG 0 2022-04-01 2024-03-31 0
41 5811EV NORVASC 10MG TAB (PFI) AMLODIPINE (C) 30'S C 0.7095 10MG 30 2024-04-01 2026-03-31 6
40 5811EW NORVASC 10MG TAB (PFI/STO) AMLODIPINE 30'S C 0.70 10MG 0 2022-04-01 2024-03-31 0
41 5811EW NORVASC 10MG TAB (PFI) AMLODIPINE (C) 30'S C 0.7095 10MG 30 2024-04-01 2026-03-31 6
42 5811F APO-VERAP 80MG TAB (APO) 100'S A 0.13 80MG 90 2026-04-01 No No 6
40 5811FD AMLODIPINE 10MG TAB (RYV/ALW) 100'S A 0.03 10MG 30 2022-04-01 2024-03-31 6
40 5811FR AMLOTENSIVE 10MG TAB (CAR/COL) AMLODIPINE 210'S A 0.04 10MG 30 2022-04-01 2024-03-31 6
41 5811FR AMLOTENSIVE 10MG TAB (CAR) AMLODIPI 210'S A 0.0388 10MG 30 2024-04-01 2026-03-31 6
42 5811FR AMLOTENSIVE 10MG TAB (CAR) AMLODIPI 210'S A 0.05 10MG 30 2026-04-01 No No 6
40 5811FS ISOPTIN RETARD 120MG TAB (ABB/PHA) VERAPAMIL 20'S C 0.50 120MG 0 2022-04-01 2024-03-31 0
40 5811FS ISOPTIN RETARD 120MG TAB (ABB/PHA) VERAPAMIL (C) 20'S C 0.503 120MG 2022-04-01 2023-03-31 No No Delete from contract 0
40 5811GW AMLODIPINE 10MG TAB (HEA/ATB) 10X10 A 0.0236 10MG 2022-07-12 No No la 6
42 5811HA AMLODIPINE 10MG TAB (HEA) 10X10 A 0.03 10MG 30 2026-04-01 No No Add to Contract as Cat A 6
41 5811KL AMLODIPINE 10MG TAB (HEA) 10X10 A 0.0275 10MG 30 2024-04-01 2026-03-31 6
41 5811KN APO-VERAP 80MG TAB (APO) 100'S A 0.1343 80MG 90 2024-04-01 2026-03-31 6
41 5811KP APO-VERAP 120MG TAB (APO) 100'S A 0.2232 120MG 60 2024-04-01 2026-03-31 6
41 5811KQ AAP-DILTIAZ 60MG TAB (APO) DILTIAZEM 100'S A 0.1109 60MG 90 2024-04-01 2026-03-31 6
41 5811KR ISOPTIN 80MG TAB (ABB) VERAPAMIL (C) 50'S C 0.1794 80MG 90 2024-04-01 2026-03-31 6
42 5811LC ISOPTIN 120MG SR TAB (ABB) VERAPAMIL 20'S C 0.48 120MG 0 2026-04-01 No No 0
42 5811LF NORVASC 10MG TAB (PFI) AMLODIPINE 30'S C 0.71 10MG 30 2026-04-01 No No 6