|
|
40
|
55311
|
EXFORGE 5MG | 80MG TAB (NVS/COL) AMLODIPINE | VAL
|
14'S
|
C
|
0.76
|
5MG|80MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
55311
|
EXFORGE 5MG|80MG TAB (NVS) AMLODIPINE|VA (C)
|
14'S
|
C
|
0.7631
|
5MG|80MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
55311
|
EXFORGE 5MG|80MG TAB (NVS) AMLODIP (C)
|
14'S
|
C
|
0.69
|
5MG|80MG
|
60
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
42
|
55318
|
AMLOSHIP-VL 5MG|80MG TAB (FSB) AMLODIPINE|VALSARTAN
|
10X10
|
A
|
0.09
|
5MG|80MG
|
60
|
2026-04-01
|
|
No
|
No
|
Add to Contract as Cat A
|
6
|
|
|
40
|
5531E
|
AMLOSHIP-VL 5MG | 80MG TAB (FSB/ATB) AMLODIPINE
|
10X10
|
A
|
0.13
|
5MG|80MG
|
30
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
5531E
|
AMLOSHIP-VL 5MG|80MG TAB (FSB) AMLODIPIN (C)
|
10X10
|
C
|
0.1324
|
5MG|80MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
40
|
5531N
|
AMLODIPINE | VALSARTAN 5MG | 80MG TAB (MCP/AHI)
|
10X10
|
A
|
0.11
|
5MG|80MG
|
30
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
40
|
5531N
|
AMLODIPINE|VALSARTAN 5MG|80MG TAB (MCP)
|
100'S
|
A
|
0.0833
|
5MG|80MG
|
30
|
2023-06-06
|
2024-03-31
|
|
|
A
|
6
|
|
|
41
|
5531N
|
AMLODIPINE|VALSARTAN 5MG|80MG TAB (MCP)
|
10X10
|
A
|
0.0927
|
5MG|80MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
40
|
55321
|
EXFORGE 5MG | 160MG TAB (NVS/COL) AMLODIPINE | VA
|
14'S
|
C
|
0.76
|
5MG|160MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
55321
|
EXFORGE 5MG|160MG TAB (NVS) AMLODIPINE|V (C)
|
14'S
|
C
|
0.7631
|
5MG|160MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
55321
|
EXFORGE 5MG|160MG TAB (NVS) AMLODI (C)
|
14'S
|
C
|
0.69
|
5MG|160MG
|
60
|
2026-04-01
|
|
No
|
No
|
|
6
|
|
|
40
|
5532A
|
AMLOSHIP-VL 5MG | 160MG TAB (FSB/ATB) AMLODIPIN
|
10X10
|
A
|
0.20
|
5MG|160MG
|
30
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
41
|
5532A
|
AMLOSHIP-VL 5MG|160MG TAB (FSB) AMLODIPI (C)
|
10X10
|
C
|
0.1976
|
5MG|160MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
42
|
5532AA
|
AMLOSHIP-VL 5MG|160MG TAB (FSB) AMLODIPINE|VALSARTAN
|
10X10
|
A
|
0.19
|
5MG|160MG
|
60
|
2026-04-01
|
|
No
|
No
|
Add to Contract as Cat A
|
6
|
|
|
40
|
5532J
|
AMLODIPINE | VALSARTAN 5MG | 160MG TAB (MCP/AHI)
|
10X10
|
A
|
0.18
|
5MG|160MG
|
30
|
2022-04-01
|
2024-03-31
|
|
|
|
6
|
|
|
40
|
5532J
|
AMLODIPINE|VALSARTAN 5MG|160MG TAB (MCP)
|
100's
|
A
|
0.1353
|
5MG|160MG
|
30
|
2023-06-06
|
2024-03-31
|
|
|
A
|
6
|
|
|
41
|
5532J
|
AMLODIPINE|VALSARTAN 5MG|160MG TAB (MCP)
|
10X10
|
A
|
0.1498
|
5MG|160MG
|
60
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
|
|
40
|
55331
|
EXFORGE 10MG | 160MG TAB (NVS/COL) AMLODIPINE | V
|
14'S
|
C
|
0.82
|
10MG|160MG
|
0
|
2022-04-01
|
2024-03-31
|
|
|
|
0
|
|
|
41
|
55331
|
EXFORGE 10MG|160MG TAB (NVS) AMLODIPINE| (C)
|
14'S
|
C
|
0.8233
|
10MG|160MG
|
30
|
2024-04-01
|
2026-03-31
|
|
|
|
6
|
