Displaying 1 - 19 of 19
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 5811CW AMLODIPINE 10MG TAB (HEA/RXP) 10X10 A 0.02 10MG 30 2022-04-01 2024-03-31 6
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
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
40 5811GW AMLODIPINE 10MG TAB (HEA/ATB) 10X10 A 0.0236 10MG 2022-07-12 No No la 6
40 58148 AMLODIPINE 5MG TAB (HEA/RXP) 10X10 A 0.02 5MG 45 2022-04-01 2024-03-31 6
40 5814AA NORVASC 5MG TAB (PFI/STO) AMLODIPINE 30'S C 0.58 5MG 0 2022-04-01 2024-03-31 0
41 5814AA NORVASC 5MG TAB (PFI) AMLODIPINE (C) 30'S C 0.589 5MG 45 2024-04-01 2026-03-31 6
40 5814AG AMLODIPINE 5MG TAB (RYV/ALW) 10X10 A 0.02 5MG 45 2022-04-01 2024-03-31 6
40 5814BD AMLOTENSIVE 5MG TAB (CAR/COL) AMLODIPINE 360'S A 0.03 5MG 45 2022-04-01 2024-03-31 6
41 5814BD AMLOTENSIVE 5MG TAB (CAR) AMLODIPIN 360'S A 0.0264 5MG 45 2024-04-01 2026-03-31 6
40 5814BZ AMLODIPINE 5MG TAB (HEA/ATB) 10X10 A 0.0209 5MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 5814BZ AMLODIPINE 5MG TAB (HEA) 10X10 A 0.0236 5MG 45 2024-04-01 2026-03-31 6
40 5814R NORVASC 5MG TAB (PFI/SBI) AMLODIPINE 30'S C 0.58 5MG 0 2022-04-01 2024-03-31 0
41 5814R NORVASC 5MG TAB (PFI) AMLODIPINE (C) 30'S C 0.589 5MG 45 2024-04-01 2026-03-31 6