Displaying 1 - 17 of 17
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 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
42 B4513 NATRIXAM 5MG|1.5MG MR TAB (SER) AMLODIPINE|INDAPAMIDE 30'S A 0.25 5MG|1.5MG 30 2026-04-01 No No 6
40 B4514 NATRIXAM 10MG | 1.5MG TAB (SER/COL) AMLODIPINE | INDAPAMIDE 30'S A 0.24 10MG|1.5MG 30 2022-04-01 2024-03-31 6
41 B4514 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 B4514 NATRIXAM 10MG|1.5MG MR TAB (SER) AMLODIPINE|INDAPAMIDE (C) 30'S C 0.2463 10MG|1.5MG 30 2024-06-01 2026-03-31 6
42 B4514 NATRIXAM 10MG|1.5MG MR TAB (SER) AMLODIPINE|INDAPAMIDE 30'S A 0.25 10MG|1.5MG 30 2026-04-01 No No 6
41 B451E AMLODIPINE/INDAPAMIDE 10MG|1.5MG MR TAB (HEA) AMLODIPINE|IND 3X10 A 0.124 10MG|1.5MG 30 2024-04-09 2026-03-31 6
41 B451F AMLODIPINE/INDAPAMIDE 5MG|1.5MG MR TAB (HEA) AMLODIPINE|INDA 3X10 A 0.1213 5MG|1.5MG 30 2024-04-09 2026-03-31 6