CALCIUM CHANNEL BLOCKERS | Vendor Drug Program

Brand Name/Generic Name	NDC/Manufacturer	FFS Clinical Prior Auth Required	PDL Prior Auth Required	Programs
AMLODIPINE BESYLATE 10 MG TAB amlodipine besylate	68382012316 ZYDUS PHARMACEU	No	No	Medicaid CHIP CSHCN HTW KHC
AMLODIPINE BESYLATE 10 MG TAB amlodipine besylate	76282023990 EXELAN PHARMACE	No	No	Medicaid CHIP CSHCN HTW
AMLODIPINE BESYLATE 10 MG TAB amlodipine besylate	69097083805 CIPLA USA, INC.	No	No	Medicaid CHIP CSHCN HTW
AMLODIPINE BESYLATE 10 MG TAB amlodipine besylate	68645051654 LEGACY PHARMACE	No	No	Medicaid CHIP CSHCN HTW
AMLODIPINE BESYLATE 10 MG TAB amlodipine besylate	67877019990 ASCEND LABORATO	No	No	Medicaid CHIP CSHCN HTW
AMLODIPINE BESYLATE 10 MG TAB amlodipine besylate	69097083815 CIPLA USA, INC.	No	No	Medicaid CHIP CSHCN HTW
AMLODIPINE BESYLATE 10 MG TAB amlodipine besylate	82009002810 QUALLENT PHARMA	No	No	Medicaid CHIP CSHCN KHC
AMLODIPINE BESYLATE 10 MG TAB amlodipine besylate	57664005713 CARACO/SUN PHAR	No	No	Medicaid CHIP CSHCN HTW KHC
AMLODIPINE BESYLATE 10 MG TAB amlodipine besylate	42806005709 EPIC PHARMA LLC	No	No	Medicaid CHIP CSHCN HTW
AMLODIPINE BESYLATE 10 MG TAB amlodipine besylate	29300039805 UNICHEM PHARMAC	No	No	Medicaid CHIP CSHCN KHC