Contracted Products [AMLOTENSIVE CT 5MG | 25MG TAB (CAR/COL) AMLODIPINE

Contracted Products [AMLOTENSIVE CT 5MG | 25MG TAB (CAR/COL) AMLODIPINE | CHLORTHALIDONE]

Contract Number	40
Brand Name	AMLOTENSIVE CT 5MG \| 25MG TAB (CAR/COL) AMLODIPINE \| CHLORTHALIDONE
Package Size	210'S
Formulary Category	A
Unit Price	0.13
Strength	5MG\|25MG
Max. Reimbursable / Month	60
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6