Displaying 5901 - 5920 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
41 B4321 CONCOR AM 5MG|5MG TAB (MEK) AMLODIPINE|BISOPROLOL (C) 30'S C 1.2051 5MG|5MG 30 2024-04-01 2026-03-31 6
42 B4321 CONCOR AM 5MG|5MG TAB (MEK) AMLODI (C) 30'S C 1.90 5MG|5MG 30 2026-04-01 No No 6
42 B4323 BISOJOY AM 5MG|5MG TAB (ZYD) AMLOD (C) 10X10 C 0.50 5MG|5MG 30 2026-04-01 No No 6
40 B4331 CONCOR AM 5MG | 10MG TAB (MEK/COL) AMLODIPINE | BISOPROLOL 30'S C 1.38 5MG|10MG 0 2022-04-01 2024-03-31 0
41 B4331 CONCOR AM 5MG|10MG TAB (MEK) AMLODIPINE|BISOPROLOL 30'S C 1.3773 5MG|10MG 30 2024-04-01 2026-03-31 6
42 B4331 CONCOR AM 5MG|10MG TAB (MEK) AMLOD (C) 30'S C 2.22 5MG|10MG 30 2026-04-01 No No 6
42 B441L TRIVERAM 5MG|20MG|5MG TAB (SER) AM (C) 30'S C 2.13 5MG|20MG|5MG 2026-04-01 No No Add to Contract as Cat C
42 B441M TRIVERAM 10MG|20MG|10MG TAB (SER) (C) 30'S C 2.33 10MG|20MG|10MG 2026-04-01 No No Add to Contract as Cat C
42 B441N TRIVERAM 5MG|20MG|10MG TAB (SER) A (C) 30'S C 2.22 5MG|20MG|10MG 2026-04-01 No No Add to Contract as Cat C
42 B441P TRIVERAM 5MG|10MG|5MG TAB (SER) AM (C) 30'S C 2.03 5MG|10MG|5MG 2026-04-01 No No Add to Contract as Cat C
40 B4511 NATRIXAM 5MG | 1.5MG TAB (SER/STO) AMLODIPINE | INDAPAMIDE 30'S A 0.24 5MG|1.5MG 30 2022-04-01 2024-03-31 6
41 B4511 NATRIXAM 5MG|1.5MG MR TAB (SER) AMLODIPINE|INDAPAMIDE 30'S A 0.2465 5MG|1.5MG 30 2024-04-01 2024-05-31 6
41 B4511 NATRIXAM 5MG|1.5MG MR TAB (SER) AM (C) 30'S C 0.2463 5MG|1.5MG 30 2024-06-01 2026-03-31 6
42 B4511 NATRIXAM 5MG|1.5MG MR TAB (SER) AMLODIPINE|INDAPAMIDE 30'S A 0.25 5MG|1.5MG 30 2026-04-01 No No 6
41 B4512 NATRIXAM 10MG|1.5MG MR TAB (SER) AMLODIPINE|INDAPAMIDE 30'S A 0.2465 10MG|1.5MG 30 2024-04-01 2024-05-31 6
41 B4512 NATRIXAM 10MG|1.5MG MR TAB (SER) A (C) 30'S C 0.2463 10MG|1.5MG 30 2024-06-01 2026-03-31 6
42 B4512 NATRIXAM 10MG|1.5MG MR TAB (SER) AMLODIPINE|INDAPAMIDE 30'S A 0.25 10MG|1.5MG 30 2026-04-01 No No 6
40 B4513 NATRIXAM 5MG | 1.5MG TAB (SER/COL) AMLODIPINE | INDAPAMIDE 30'S A 0.24 5MG|1.5MG 30 2022-04-01 2024-03-31 6
41 B4513 NATRIXAM 5MG|1.5MG MR TAB (SER) AMLODIPINE|INDAPAMIDE 30'S A 0.2465 5MG|1.5MG 30 2024-04-01 2024-05-31 6
41 B4513 NATRIXAM 5MG|1.5MG MR TAB (SER) AM (C) 30'S C 0.2463 5MG|1.5MG 30 2024-06-01 2026-03-31 6