Displaying 1 - 6 of 6
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 55314 TWYNSTA 5MG | 80MG TAB (BOE/STO) AMLODIPINE | TELMISARTAN 28'S A 0.90 5MG|80MG 30 2022-04-01 2024-03-31 6
41 55314 TWYNSTA 5MG|80MG TAB (BOE) AMLODIPINE|TELMISARTAN 28'S A 0.897 5MG|80MG 30 2024-04-01 2026-03-31 6
42 55314 TWYNSTA 5MG|80MG TAB (BOE) AMLODIP (C) 28'S A 0.90 5MG|80MG 30 2026-04-01 No No 6
40 55324 TWYNSTA 10MG | 80MG TAB (BOE/STO) AMLODIPINE | TELMISARTAN 28'S A 0.90 10MG|80MG 30 2022-04-01 2024-03-31 6
41 55324 TWYNSTA 10MG|80MG TAB (BOE) AMLODIPINE|TELMISARTAN 28'S A 0.897 10MG|80MG 30 2024-04-01 2026-03-31 6
42 55324 TWYNSTA 10MG|80MG TAB (BOE) AMLODI (C) 28'S A 0.90 10MG|80MG 30 2026-04-01 No No 6