DIN/NPN/PIN 02452375 APO-FELODIPINE 5 MG ORAL EXTENDED-RELEASE TABLET FELODIPINE |
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Date Listed/Coverage Update: | 01-Jun-2016 | ||||||
Unit Price: | 0.3565 | ||||||
LCA Price: | 0.3565 | ||||||
MAC Price: |
0.1993 MAC pricing will be applied based on the LCA Price for amlodipine besylate 1 x 10 mg tablet. |
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Unit of Issue: | Tablet | ||||||
Manufacturer: | APOTEX INC. (APX) | ||||||
ATC: | C08CA02 | ||||||
1 | |||||||
Interchangeable Products: | Yes | ||||||
Coverage Status: | REGULAR BENEFIT |
Applies to Clients of: | Non-Group Coverage (Group 1) Coverage for Seniors (Group 66) Palliative Coverage (Group 20514, Please note your client may have Group 1 or Group 66 coverage) Child and Family Services (Group 20403) Alberta Child Health Benefit (Group 20400) Children and Youth Services (Group 19824) Income Support (Group 19823) Alberta Human Services (AISH) (Group 19823) Alberta Adult Health Benefit (AAHB) (Group 23609) |
Special Authorization Request Form: |
Calcium Channel Blocking Agents (CCBs) Pricing Authorization Request Form (ABC 60073) |
N/A |
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Review Status / Past Decisions
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