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Amlodipine besylate 10 mg Tablet, 30-count — NDC 43353-0989-30 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Amlodipine besylate 10 mg Tablet, 30-count — NDC 43353-989-30 (Billing 43353-0989-30)

by Aphena Pharma Solutions - Tennessee, LLC · 30 TABLET in 1 BOTTLE

This is a package of 30 tablets of Amlodipine besylate 10 mg Tablet from Aphena Pharma Solutions - Tennessee, LLC, marketed since Nov 2007 and currently FDA-listed. It is the main listing for this product, which comes in 3 package sizes.

NDC 43353-0989-30
🏷️ FDA NDC (as labeled) 43353-989-30 billing pads the product segment with a zero
This package
Contains30-count Pack sizes3 compare ↓
Also priced by: Part D plans $0.0799/unit — full pricing hub ↓
Main listing for product 43353-989 · Also comes in: 45 tablets 43353-989-45 90 tablets 43353-989-60
Rx only Generic On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 43353-989-30
Product NDC 43353-989
11-digit billing NDC 43353098930
NCPDP billing unit EA — each (per item)
RxCUI 308135
UNII 864V2Q084H
Application # ANDA077955
SPL Set ID 17e6d552-7528-4597-9498-104cb04f32e7
Established class (EPC) Dihydropyridine Calcium Channel Blocker
Mechanism of action Calcium Channel Antagonists
Chemical class Dihydropyridines
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2007-11-02
Route ORAL
Dosage form TABLET
Substance AMLODIPINE BESYLATE
TE code (Orange Book) AB · RLD · RS

Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification

GPI-14 34000003100340
GPI class amLODIPine Besylate
GCN Seq No 016927
GCN 02682
HICL code 006494
Ingredient (HICL) Amlodipine Besylate
HIC1 code A
Therapeutic class — broad (HIC1) Cardiovascular System
HIC2 code A9
Therapeutic class — intermediate (HIC2) Calcium Antagonists
HIC3 code A9A
Therapeutic class — specific (HIC3) Calcium Channel Blocking Agents
AHFS code 24:08.92.00
AHFS class Vasodilating Agents, Misc (24:08)
FDB label name AMLODIPINE BESYLATE 10 MG TAB
FDB brand name Amlodipine Besylate
Legend status F — Federal legend — prescription drug or device
Quick answers
  • GSN (GCN sequence number): 016927
  • GCN: 02682
  • GPI-14 (Medi-Span): 34000003100340
  • HICL (First Databank): 006494
  • AHFS class code: 24:08.92.00
  • RxCUI (RxNorm): 308135
Why two NDCs? The FDA registers this code as 43353-989-30 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 43353-0989-30. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Dihydropyridine Calcium Channel Blocker class.

Pharmacologic class Dihydropyridine Calcium Channel Blocker, Calcium Channel Blocker
Drug family (ATC) Renin-inhibitors, ACE inhibitors and calcium channel blockers, Dihydropyridine derivatives
How it works Calcium Channel Antagonists, Cytochrome P450 3A Inhibitors
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

Label name AMLODIPINE BESYLATE 10 MG TAB Ingredient Amlodipine Besylate
📖 What it is MedlinePlus · NLM

Amlodipine is used to treat high blood pressure and certain types of angina (chest pain) and coronary artery disease (narrowing of the blood vessels that supply blood to the heart). Amlodipine is in a class of medications called calcium channel blockers. It lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard. It controls chest pain by increasing the supply of blood to the heart. If taken regularly, amlodipine controls chest pain, but it does not stop chest pain once it starts. Your doctor may prescribe a different medication to take when you have ches...

Read the full MedlinePlus article ↗
📗 Our plain-language guide HelloPharmacist
  • It lowers high blood pressure, which reduces your risk of strokes and heart attacks. It also treats certain kinds of angina (chest pain) and coronary artery disease. Your doctor wi...
  • Take it by mouth, usually once a day, exactly as your prescriber directs. If you use Katerzia suspension, shake it first. It works gradually, so your dose may be adjusted over a we...
  • Ankle or foot swelling is the most common, especially at higher doses. Some people feel tired, dizzy, flushed, or sleepy, or notice a pounding heartbeat. Call your doctor if these...
  • Call if your chest pain worsens, you faint, you notice yellow skin or eyes, or you have swelling of the face or throat. Those need prompt attention.
📖 Read our full Amlodipine guide →
2
Nutrient depletion considerations

Amlodipine Besylate may be associated with lower levels of 2 nutrients — worth a chat with your pharmacist, not a cause for alarm.

🧪 Full Amlodipine Besylate nutrient depletion report →
An association is not a deficiency. Educational only — don't start or stop anything without professional guidance.
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eachPer package
Retail pharmacies payNADAC · weekly Not in the retail survey — common for institutional, discontinued, or low-volume packs.
Medicaid paysCMS SDUD · 12 mo No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data.
Medicare drug plans payPart D · Q2 2026 $0.0799 $2.40 / 30 tablets
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
43353-0989-30 You're viewing this Main listing 30 TABLET in 1 BOTTLE 2016-12-02 — Active
43353-0989-45 43353-989-45 45 TABLET in 1 BOTTLE 2014-12-29 — Active
43353-0989-60 43353-989-60 90 TABLET in 1 BOTTLE 2014-12-29 — Active

You're viewing the smallest of 3 pack sizes for this product.

Pack size FAQ

What quantity is in this package?
This is a 30-count package — 30 tablet in 1 bottle.
How does this package differ from NDC 43353-0989-45?
Both are Amlodipine besylate 10 mg Tablet — the drug itself is identical. This page's package is the 30-count one, while NDC 43353-0989-45 is the 45 tablets package.
What NDC number is used to bill for this package of Amlodipine besylate 10 mg Tablet?
Use the 11-digit billing form listed in the identifiers section of this page. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Amlodipine Besylate 10 mg 00480-7168-98 Teva 90 tablets $0.015 AB Discontinued —
Amlodipine Besylate 10 mg 00904-6371-61 Major 100 tablets $0.015 AB Availability likely —
Amlodipine Besylate 10 mg 29300-0398-05 Unichem 500 tablets $0.015 AB Availability likely —
amlodipine besylate 10 mg 59762-2135-01 Mylan 1000 tablets $0.015 AB Availability likely —
Amlodipine Besylate 10 mg 60687-0496-01 American 100 tablets $0.015 AB Availability likely —
Amlodipine Besylate 10 mg 67877-0199-05 Ascend 500 tablets $0.015 AB Availability likely —
Amlodipine Besylate 10 mg 67877-0902-10 Ascend 1000 tablets $0.015 AB Availability likely —
Amlodipine Besylate 10 mg 68180-0721-03 Lupin 1000 tablets $0.015 AB Availability likely —
Amlodipine Besylate 10 mg 68645-0516-54 Legacy 30 tablets $0.015 AB Availability likely —
Amlodipine Besylate 10 mg 68645-0580-54 Legacy 30 tablets $0.015 AB Availability likely —
Amlodipine Besylate 10 mg 69097-0128-05 Cipla 90 tablets $0.015 AB Availability likely —
AMLODIPINE BESYLATE 10 mg 69584-0023-09 Oxford 90 tablets $0.015 AB Availability likely —
Amlodipine Besylate 10 mg 82009-0028-10 Quallent 1000 tablets $0.015 AB Availability likely —
Amlodipine Besylate 10 mg 42806-0057-05 Epic 500 tablets $0.017 AB FDA listed —
Amlodipine Besylate 10 mg 69097-0838-05 Cipla 90 tablets $0.019 AB FDA listed —
Norvasc 10 mg 00069-1540-41 PFIZER 100 tablets $11.190 AB Discontinued —
Norvasc 10 mg 58151-0355-77 Viatris 90 tablets $11.942 AB Availability likely —
Amlodipine Besylate 10 mg 00615-8431-05 NCS 15 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 42291-0027-10 AvKARE 1000 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 43063-0041-30 PD-Rx 30 tablets — AB FDA listed —
Amlodipine besylate 10 mgthis 43353-0989-30 Aphena 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 43489-0101-01 China 90 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 48433-0157-20 Safecor 100 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 50090-2581-00 A-S 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 50090-5354-00 A-S 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 50090-5355-00 A-S 90 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 50090-5550-00 A-S 90 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 50090-6808-00 A-S 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 50090-6809-00 A-S 90 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 51407-0951-10 GSMS, 1000 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 51655-0586-52 Northwind 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 51655-0869-52 Northwind 30 tablets — AB FDA listed —
amlodipine besylate 10 mg 52605-0043-10 POLYGEN 1000 tablets — AB Discontinued —
Amlodipine Besylate 10 mg 55154-6875-00 Cardinal 10 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 60760-0445-30 ST. 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 63187-0914-30 Proficient 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 65841-0622-01 Zydus 100 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 65862-0103-05 Aurobindo 500 tablets — — FDA listed —
Amlodipine Besylate 10 mg 68071-2305-02 NuCare 120 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 68071-2520-09 NuCare 90 tablets — AB FDA listed —
AMLODIPINE BESYLATE 10 mg 68071-3453-02 NuCare 120 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 68071-3698-02 NuCare 120 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 68382-0123-01 Zydus 100 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 68788-4085-01 Preferred 100 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 68788-7985-01 Preferred 100 tablets — AB FDA listed —
AMLODIPINE BESYLATE 10 mg 68788-8451-01 Preferred 100 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 68788-8543-01 Preferred 100 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 70518-0297-00 REMEDYREPACK 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 70518-2632-00 REMEDYREPACK 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 70518-4464-00 REMEDYREPACK 90 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 71205-0488-30 Proficient 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 71205-0506-30 Proficient 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 71335-0218-01 Bryant 30 tablets — AB FDA listed —
Amlodipine besylate 10 mg 71335-0843-01 Bryant 30 tablets — AB Discontinued —
Amlodipine Besylate 10 mg 71335-0945-01 Bryant 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 71335-1865-01 Bryant 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 71335-1887-01 Bryant 30 tablets — — Discontinued —
Amlodipine Besylate 10 mg 71335-2507-00 Bryant 7 tablets — AB FDA listed —
amlodipine besylate 10 mg 71610-0469-30 Aphena 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 71610-0620-30 Aphena 30 tablets — AB FDA listed —
AMLODIPINE BESYLATE 10 mg 71610-0830-30 Aphena 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 71610-0928-30 Aphena 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 71610-0938-30 Aphena 30 tablets — AB FDA listed —
AMLODIPINE BESYLATE 10 mg 71610-0978-30 Aphena 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 71610-0988-30 Aphena 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 72189-0529-90 Direct_Rx 90 tablets — AB FDA listed —
AMLODIPINE BESYLATE 10 mg 72789-0262-90 PD-Rx 90 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 72789-0516-30 PD-Rx 30 tablets — AB FDA listed —
Amlodipine besylate 10 mg 76282-0239-05 Exelan 500 tablets — AB FDA listed —
Amlodipine besylate 10 mg 76282-0509-05 Exelan 500 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 82804-0164-90 Proficient 90 tablets — AB FDA listed —
AMLODIPINE BESYLATE 10 mg 82804-0971-00 Proficient 100 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 82868-0031-90 Northwind 90 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 83209-0399-10 Boswell 10 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 87441-0016-01 Unit 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 68071-1980-02 NuCare 120 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 67296-2297-03 Redpharm 30 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 00615-8652-05 NCS 15 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 60687-0961-01 American 100 tablets — AB FDA listed —
Amlodipine Besylate 10 mg 67046-1157-03 Coupler 30 tablets — AB FDA listed —
About this product: this is a generic version of the medicine. FDA equivalence ratings are shown when available, and other versions are listed above, least expensive first.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2007
On the market since
Nov 2007
📍
2026
Currently FDA-listed
19 years listed
🔓
·
Generic on the market
this product is a generic
✅This is a generic drug

This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

What it looks like

Color White
ShapeRound
Imprint239;IG
Size1 mm
ScoringNot scored
One label can cover several strengths, so colors may be combined — always confirm a loose pill against the dispensed prescription label or a pharmacist.
Where does this data come from?
Physical description (imprint, shape, color, scoring, coating) from this product’s FDA Structured Product Labeling (SPL), mirrored from DailyMed / openFDA.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII L11K75P92J
    A mineral salt made from calcium and phosphate. It acts as a filler and binder in tablets to add bulk and help hold the medicine together in solid form.
  • UNII OP1R32D61U
    Microcrystalline cellulose is a purified form of cellulose, a natural fiber from plant sources. It acts as a binder and filler in tablets and capsules, helping hold ingredients together and give the medicine its shape and size.
  • UNII 70097M6I30
    Magnesium stearate is a salt made from magnesium and stearic acid, a fatty substance. It's used in tablets and capsules as a lubricant and glidant to help ingredients flow smoothly during manufacturing and prevent sticking.
  • UNII 5856J3G2A2
    A starch-based powder made from potatoes and processed with sodium. It acts as a disintegrant, helping the tablet or capsule break apart quickly in the stomach so the medicine can be absorbed.

4 inactive ingredients listed in the exact product block matched to this NDC.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMed — ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerAphena Pharma Solutions - Tennessee, LLC
Application holderINVAGEN PHARMACEUTICALS INC
FDA applicationANDA077955 (ANDA)
Labeler code43353
First marketedNov 2007
Product typeHuman Prescription Drug
Portfolio800 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration 💊 Dosage Forms and Strengths ⛔ Contraindications ⚠️ Warnings and Cautions 🤒 Adverse Reactions 🔄 Drug Interactions 👥 Use in Specific Populations 🤰 Pregnancy 🧒 Pediatric Use 🧓 Geriatric Use 🆘 Overdosage 🧬 Clinical Pharmacology 🧬 Mechanism of Action 📦 How Supplied / Storage and Handling 📋 Description 💬 Information for Patients
🎯 Indications and Usage 208 words ▾

1 INDICATIONS AND USAGE Amlodipine besylate, USP is a calcium channel blocker and may be used alone or in combination with other antihypertensive and antianginal agents for the treatment of: Hypertension ( 1.1 ) Coronary Artery Disease ( 1.2 ) Chronic Stable Angina Vasospastic Angina (Prinzmetal’s or Variant Angina) Angiographically Documented Coronary Artery Disease in patients without heart failure or an ejection fraction < 40%

1.1Hypertension Amlodipine besylate tablets, USP are indicated for the treatment of hypertension. It may be used alone or in combination with other antihypertensive agents.

1.2Coronary Artery Disease (CAD) Chronic Stable Angina Amlodipine besylate tablets, USP are indicated for the symptomatic treatment of chronic stable angina. Amlodipine besylate tablets, USP may be used alone or in combination with other antianginal agents. Vasospastic Angina (Prinzmetal’s or Variant Angina) Amlodipine besylate tablets are indicated for the treatment of confirmed or suspected vasospastic angina.

Amlodipine besylate tablets, USP may be used as monotherapy or in combination with other antianginal agents. Angiographically Documented CAD In patients with recently documented CAD by angiography and without heart failure or an ejection fraction <40%, amlodipine besylate tablets, USP are indicated to reduce the risk of hospitalization due to angina and to reduce the risk of a coronary revascularization procedure.

⏱️ Dosage and Administration ~1 min read ▾

2 DOSAGE AND ADMINISTRATION Adult recommended starting dose: 5 mg once daily with maximum dose10 mg once daily. ( 2.1 ) Small, fragile, or elderly patients, or patients with hepatic insufficiency may be started on 2.5 mg once daily. ( 2.1 ) Pediatric starting dose: 2.5 mg to 5 mg once daily. ( 2.2 ) Important Limitation: Doses in excess of 5 mg daily have not been studied in pediatric patients. ( 2.2 )

2.1Adults The usual initial antihypertensive oral dose of amlodipine besylate tablets is 5 mg once daily with a maximum dose of 10 mg once daily. Small, fragile, or elderly patients, or patients with hepatic insufficiency may be started on 2.5 mg once daily and this dose may be used when adding amlodipine besylate tablets to other antihypertensive therapy. Adjust dosage according to each patient’s need.

In general, titration should proceed over 7 to 14 days so that the physician can fully assess the patient’s response to each dose level. Titration may proceed more rapidly, however, if clinically warranted, provided the patient is assessed frequently. The recommended dose for chronic stable or vasospastic angina is 5–10 mg, with the lower dose suggested in the elderly and in patients with hepatic insufficiency.

Most patients will require 10 mg for adequate effect [see Adverse Reactions ( 6 )]. The recommended dose range for patients with coronary artery disease is 5–10 mg once daily. In clinical studies, the majority of patients required 10 mg [see Clinical Studies ( 14.4 )] .

2.2Children The effective antihypertensive oral dose in pediatric patients ages 6–17 years is 2.5 mg to 5 mg once daily. Doses in excess of 5 mg daily have not been studied in pediatric patients [see Clinical Pharmacology ( 12.4 ), Clinical Studies ( 14.1 )] .

💊 Dosage Forms and Strengths 22 words ▾

3 DOSAGE FORMS AND STRENGTHS 2.5, 5, and 10 mg Tablets 2.5 mg, 5 mg, and 10 mg Tablets ( 3 )

⛔ Contraindications 21 words ▾

4 CONTRAINDICATIONS Amlodipine besylate tablets are contraindicated in patients with known sensitivity to amlodipine. Known sensitivity to amlodipine ( 4 )

⚠️ Warnings and Cautions 207 words ▾

5 WARNINGS AND PRECAUTIONS Symptomatic hypotension is possible, particularly in patients with severe aortic stenosis. However, because of the gradual onset of action, acute hypotension is unlikely. ( 5.1 ) Worsening angina and acute myocardial infarction can develop after starting or increasing the dose of amlodipine besylate tablets, particularly in patients with severe obstructive coronary artery disease.

( 5.2 ) Titrate slowly when administering calcium channel blockers to patients with severe hepatic impairment. ( 5.4 )

5.1Hypotension Symptomatic hypotension is possible, particularly in patients with severe aortic stenosis. Because of the gradual onset of action, acute hypotension is unlikely.

5.2Increased Angina or Myocardial Infarction Worsening angina and acute myocardial infarction can develop after starting or increasing the dose of amlodipine besylate tablets, particularly in patients with severe obstructive coronary artery disease.

5.3Beta-Blocker Withdrawal Amlodipine is not a beta-blocker and therefore gives no protection against the dangers of abrupt beta-blocker withdrawal; any such withdrawal should be by gradual reduction of the dose of beta-blocker.

5.4Patients with Hepatic Failure Because amlodipine is extensively metabolized by the liver and the plasma elimination half-life (t 1/2) is 56 hours in patients with impaired hepatic function, titrate slowly when administering amlodipine besylate to patients with severe hepatic impairment.

🤒 Adverse Reactions ~3 min read ▾

6 ADVERSE REACTIONS Most common adverse reactions are headache and edema which occurred in a dose related manner. Other adverse experiences not dose related but reported with an incidence >1.0% are headache, fatigue, nausea, abdominal pain, and somnolence. ( 6 ) To report SUSPECTED ADVERSE REACTIONS, contact Exelan Pharmaceuticals Inc., at 1-877-397-6028 or www.exelanpharma.com or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

6.1Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. Amlodipine besylate tablets have been evaluated for safety in more than 11,000 patients in U.S. and foreign clinical trials. In general, treatment with amlodipine besylate tablets were well-tolerated at doses up to 10 mg daily.

Most adverse reactions reported during therapy with amlodipine besylate tablets were of mild or moderate severity. In controlled clinical trials directly comparing amlodipine besylate tablets (N=1730) at doses up to 10 mg to placebo (N=1250), discontinuation of amlodipine besylate tablets due to adverse reactions was required in only about 1.5% of patients and was not significantly different from placebo (about 1%). The most common side effects are headache and edema.

The incidence (%) of side effects that occurred in a dose related manner are as follows: Adverse Event 2.5 mg N=275 5 mg N=296 10 mg N=268 Placebo N=520 Edema 1.8 3 10.8

0.6Dizziness 1.1 3.4 3.4

1.5Flushing 0.7 1.4 2.6 0 Palpitation 0.7 1.4 4.5

0.6Other adverse experiences that were not clearly dose related but were reported with an incidence greater than 1.0% in placebo-controlled clinical trials include the following: Placebo-Controlled Studies Amlodipine (%) (N=1730) Placebo (%) (N=1250) Headache 7.3

7.8Fatigue 4.5

2.8Nausea 2.9

1.9Abdominal Pain 1.6

0.3Somnolence 1.4

0.6For several adverse experiences that appear to be drug and dose related, there was a greater incidence in women than men associated with amlodipine treatment as shown in the following table: Adverse Event Amlodipine Besylate Placebo Male=% (N=1218) Female=% (N=512) Male=% (N=914) Female=% (N=336) Edema 5.6 14.6 1.4

5.1Flushing 1.5 4.5 0.3

0.9Palpitations 1.4 3.3 0.9

0.9Somnolence 1.3 1.6 0.8

0.3The following events occurred in <1% but >0.1% of patients in controlled clinical trials or under conditions of open trials or marketing experience where a causal relationship is uncertain; they are listed to alert the physician to a possible relationship: Cardiovascular: arrhythmia (including ventricular tachycardia and atrial fibrillation), bradycardia, chest pain, hypotension, peripheral ischemia, syncope, tachycardia, postural dizziness, postural hypotension, vasculitis. Central and Peripheral Nervous System: hypoesthesia, neuropathy peripheral, paresthesia, tremor, vertigo.

Gastrointestinal: anorexia, constipation, dyspepsia, 1 dysphagia, diarrhea, flatulence, pancreatitis, vomiting, gingival hyperplasia. General: allergic reaction, asthenia, 1 back pain, hot flushes, malaise, pain, rigors, weight gain, weight decrease. Musculoskeletal System: arthralgia, arthrosis, muscle cramps, 1 myalgia.

Psychiatric: sexual dysfunction (male 1 and female), insomnia, nervousness, depression, abnormal dreams, anxiety, depersonalization. Respiratory System: dyspnea, 1 epistaxis. Skin and Appendages: angioedema, erythema multiforme, pruritus, 1 rash, 1 rash erythematous, rash maculopapular.

Special Senses: abnormal vision, conjunctivitis, diplopia, eye pain, tinnitus. Urinary System: micturition frequency, micturition disorder, nocturia. Autonomic Nervous System: dry mouth, sweating increased.

Metabolic and Nutritional: hyperglycemia, thirst. Hemopoietic: leukopenia, purpura, thrombocytopenia. 1 These events occurred in less than 1% in placebo-controlled trials, but t…

🔄 Drug Interactions ~2 min read ▾

7 DRUG INTERACTIONS

7.1In Vitro Data In vitro data indicate that amlodipine has no effect on the human plasma protein binding of digoxin, phenytoin, warfarin, and indomethacin.

7.2Cimetidine Co-administration of amlodipine with cimetidine did not alter the pharmacokinetics of amlodipine.

7.3Grapefruit Juice Co-administration of 240 mL of grapefruit juice with a single oral dose of amlodipine 10 mg in 20 healthy volunteers had no significant effect on the pharmacokinetics of amlodipine.

7.4Magnesium and Aluminum Hydroxide Antacid Co-administration of a magnesium and aluminum hydroxide antacid with a single dose of amlodipine besylate tablets had no significant effect on the pharmacokinetics of amlodipine.

7.5Sildenafil A single 100 mg dose of sildenafil in subjects with essential hypertension had no effect on the pharmacokinetic parameters of amlodipine. When amlodipine and sildenafil were used in combination, each agent independently exerted its own blood pressure lowering effect.

7.6Atorvastatin Co-administration of multiple 10 mg doses of amlodipine with 80 mg of atorvastatin resulted in no significant change in the steady-state pharmacokinetic parameters of atorvastatin.

7.7Digoxin Co-administration of amlodipine with digoxin did not change serum digoxin levels or digoxin renal clearance in normal volunteers.

7.8Ethanol (Alcohol) Single and multiple 10 mg doses of amlodipine had no significant effect on the pharmacokinetics of ethanol.

7.9Warfarin Co-administration of amlodipine with warfarin did not change the warfarin prothrombin response time.

7.10CYP3A4 Inhibitors Co-administration of a 180 mg daily dose of diltiazem with 5 mg amlodipine in elderly hypertensive patients resulted in a 60% increase in amlodipine systemic exposure. Erythromycin co-administration in healthy volunteers did not significantly change amlodipine systemic exposure. However, strong inhibitors of CYP3A4 (e.g., ketoconazole, itraconazole, ritonavir) may increase the plasma concentrations of amlodipine to a greater extent.

Monitor for symptoms of hypotension and edema when amlodipine is co-administered with CYP3A4 inhibitors.

7.11CYP3A4 Inducers No information is available on the quantitative effects of CYP3A4 inducers on amlodipine. Blood pressure should be closely monitored when Amlodipine is co-administered with CYP3A4 inducers.

7.12Drug/Laboratory Test Interactions None known.

👥 Use in Specific Populations ~2 min read ▾

8 USE IN SPECIFIC POPULATIONS Pregnancy: Use only if the potential benefit justifies the potential risk. ( 8.1 ) Nursing: Discontinue when administering amlodipine besylate tablets. ( 8.3 ) Pediatric: Effect on patients less than 6 years old is not known. ( 8.4 ) Geriatric: Start dosing at the low end of the dose range, due to the greater frequency of decreased hepatic, renal, or cardiac function and of concomitant disease or other drug therapy. ( 8.5 )

8.1Pregnancy Pregnancy Category C There are no adequate and well-controlled studies in pregnant women. Amlodipine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. No evidence of teratogenicity or other embryo/fetal toxicity was found when pregnant rats and rabbits were treated orally with amlodipine maleate at doses up to 10 mg amlodipine/kg/day (respectively, 8 times 2 and 23 times 2 the maximum recommended human dose of 10 mg on a mg/m 2 basis) during their respective periods of major organogenesis.

However, litter size was significantly decreased (by about 50%) and the number of intrauterine deaths was significantly increased (about 5-fold) in rats receiving amlodipine maleate at a dose equivalent to 10 mg amlodipine/kg/day for 14 days before mating and throughout mating and gestation. Amlodipine maleate has been shown to prolong both the gestation period and the duration of labor in rats at this dose. 2 Based on patient weight of 50 kg.

8.3Nursing Mothers It is not known whether amlodipine is excreted in human milk. In the absence of this information, it is recommended that nursing be discontinued while amlodipine is administered.

8.4Pediatric Use Effect of amlodipine on blood pressure in patients less than 6 years of age is not known.

8.5Geriatric Use Clinical studies of amlodipine did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.

Elderly patients have decreased clearance of amlodipine with a resulting increase of AUC of approximately 40–60%, and a lower initial dose may be required [see Dosage and Administration ( 2.1 )] .

🤰 Pregnancy 161 words ▾

8.1Pregnancy Pregnancy Category C There are no adequate and well-controlled studies in pregnant women. Amlodipine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. No evidence of teratogenicity or other embryo/fetal toxicity was found when pregnant rats and rabbits were treated orally with amlodipine maleate at doses up to 10 mg amlodipine/kg/day (respectively, 8 times 2 and 23 times 2 the maximum recommended human dose of 10 mg on a mg/m 2 basis) during their respective periods of major organogenesis.

However, litter size was significantly decreased (by about 50%) and the number of intrauterine deaths was significantly increased (about 5-fold) in rats receiving amlodipine maleate at a dose equivalent to 10 mg amlodipine/kg/day for 14 days before mating and throughout mating and gestation. Amlodipine maleate has been shown to prolong both the gestation period and the duration of labor in rats at this dose. 2 Based on patient weight of 50 kg.

🧒 Pediatric Use 20 words ▾

8.4Pediatric Use Effect of amlodipine on blood pressure in patients less than 6 years of age is not known.

🧓 Geriatric Use 115 words ▾

8.5Geriatric Use Clinical studies of amlodipine did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.

Elderly patients have decreased clearance of amlodipine with a resulting increase of AUC of approximately 40–60%, and a lower initial dose may be required [see Dosage and Administration ( 2.1 )] .

🆘 Overdosage 159 words ▾

10 OVERDOSAGE Overdosage might be expected to cause excessive peripheral vasodilation with marked hypotension and possibly a reflex tachycardia. In humans, experience with intentional overdosage of amlodipine is limited. Single oral doses of amlodipine maleate equivalent to 40 mg amlodipine/kg and 100 mg amlodipine/kg in mice and rats, respectively, caused deaths.

Single oral amlodipine maleate doses equivalent to 4 or more mg amlodipine/kg or higher in dogs (11 or more times the maximum recommended human dose on a mg/m 2 basis) caused a marked peripheral vasodilation and hypotension. If massive overdose should occur, initiate active cardiac and respiratory monitoring. Frequent blood pressure measurements are essential.

Should hypotension occur, provide cardiovascular support including elevation of the extremities and the judicious administration of fluids. If hypotension remains unresponsive to these conservative measures, consider administration of vasopressors (such as phenylephrine) with attention to circulating volume and urine output. As amlodipine is highly protein bound, hemodialysis is not likely to be of benefit.

🧬 Clinical Pharmacology ~3 min read ▾

12 CLINICAL PHARMACOLOGY

12.1Mechanism of Action Amlodipine is a dihydropyridine calcium antagonist (calcium ion antagonist or slow-channel blocker) that inhibits the transmembrane influx of calcium ions into vascular smooth muscle and cardiac muscle. Experimental data suggest that amlodipine binds to both dihydropyridine and nondihydropyridine binding sites. The contractile processes of cardiac muscle and vascular smooth muscle are dependent upon the movement of extracellular calcium ions into these cells through specific ion channels.

Amlodipine inhibits calcium ion influx across cell membranes selectively, with a greater effect on vascular smooth muscle cells than on cardiac muscle cells. Negative inotropic effects can be detected in vitro but such effects have not been seen in intact animals at therapeutic doses. Serum calcium concentration is not affected by amlodipine.

Within the physiologic pH range, amlodipine is an ionized compound (pKa=8.6), and its kinetic interaction with the calcium channel receptor is characterized by a gradual rate of association and dissociation with the receptor binding site, resulting in a gradual onset of effect. Amlodipine is a peripheral arterial vasodilator that acts directly on vascular smooth muscle to cause a reduction in peripheral vascular resistance and reduction in blood pressure. The precise mechanisms by which amlodipine relieves angina have not been fully delineated, but are thought to include the following: Exertional Angina: In patients with exertional angina, amlodipine reduces the total peripheral resistance (afterload) against which the heart works and reduces the rate pressure product, and thus myocardial oxygen demand, at any given level of exercise.

Vasospastic Angina: Amlodipine has been demonstrated to block constriction and restore blood flow in coronary arteries and arterioles in response to calcium, potassium epinephrine, serotonin, and thromboxane A2 analog in experimental animal models and in human coronary vessels in vitro . This inhibition of coronary spasm is responsible for the effectiveness of amlodipine in vasospastic (Prinzmetal’s or variant) angina.

12.2Pharmacodynamics Hemodynamics: Following administration of therapeutic doses to patients with hypertension, amlodipine besylate tablets produces vasodilation resulting in a reduction of supine and standing blood pressures. These decreases in blood pressure are not accompanied by a significant change in heart rate or plasma catecholamine levels with chronic dosing. Although the acute intravenous administration of amlodipine decreases arterial blood pressure and increases heart rate in hemodynamic studies of patients with chronic stable angina, chronic oral administration of amlodipine in clinical trials did not lead to clinically significant changes in heart rate or blood pressures in normotensive patients with angina.

With chronic once daily oral administration, antihypertensive effectiveness is maintained for at least 24 hours. Plasma concentrations correlate with effect in both young and elderly patients. The magnitude of reduction in blood pressure with amlodipine besylate tablets is also correlated with the height of pretreatment elevation; thus, individuals with moderate hypertension (diastolic pressure 105–114 mmHg) had about a 50% greater response than patients with mild hypertension (diastolic pressure 90–104 mmHg).

Normotensive subjects experienced no clinically significant change in blood pressures (+1/–2 mmHg). In hypertensive patients with normal renal function, therapeutic doses of amlodipine besylate tablets resulted in a decrease in renal vascular resistance and an increase in glomerular filtration rate and effective renal plasma flow without change in filtration fraction or proteinuria. As with other calcium channel blockers, hemodynamic measurements of cardiac function at rest and during exercise (or pacing) in patients with normal ventricular function treated with amlodipine besylate tab…

🧬 Mechanism of Action ~1 min read ▾

12.1Mechanism of Action Amlodipine is a dihydropyridine calcium antagonist (calcium ion antagonist or slow-channel blocker) that inhibits the transmembrane influx of calcium ions into vascular smooth muscle and cardiac muscle. Experimental data suggest that amlodipine binds to both dihydropyridine and nondihydropyridine binding sites. The contractile processes of cardiac muscle and vascular smooth muscle are dependent upon the movement of extracellular calcium ions into these cells through specific ion channels.

Amlodipine inhibits calcium ion influx across cell membranes selectively, with a greater effect on vascular smooth muscle cells than on cardiac muscle cells. Negative inotropic effects can be detected in vitro but such effects have not been seen in intact animals at therapeutic doses. Serum calcium concentration is not affected by amlodipine.

Within the physiologic pH range, amlodipine is an ionized compound (pKa=8.6), and its kinetic interaction with the calcium channel receptor is characterized by a gradual rate of association and dissociation with the receptor binding site, resulting in a gradual onset of effect. Amlodipine is a peripheral arterial vasodilator that acts directly on vascular smooth muscle to cause a reduction in peripheral vascular resistance and reduction in blood pressure. The precise mechanisms by which amlodipine relieves angina have not been fully delineated, but are thought to include the following: Exertional Angina: In patients with exertional angina, amlodipine reduces the total peripheral resistance (afterload) against which the heart works and reduces the rate pressure product, and thus myocardial oxygen demand, at any given level of exercise.

Vasospastic Angina: Amlodipine has been demonstrated to block constriction and restore blood flow in coronary arteries and arterioles in response to calcium, potassium epinephrine, serotonin, and thromboxane A2 analog in experimental animal models and in human coronary vessels in vitro . This inhibition of coronary spasm is responsible for the effectiveness of amlodipine in vasospastic (Prinzmetal’s or variant) angina.

📦 How Supplied / Storage and Handling 213 words ▾

16 HOW SUPPLIED/STORAGE AND HANDLING 16.1 2.5 mg Tablets Amlodipine besylate-2.5 mg Tablets (amlodipine besylate, USP equivalent to 2.5 mg of amlodipine per tablet) are supplied as white, round, flat-faced, beveled edged tablets debossed with IG on one side and 237 on the other and supplied as follows: NDC 76282-237-90 Bottle of 90 NDC 76282-237-05 Bottle of 500 NDC 76282-237-10 Bottle of 1000 16.2 5 mg Tablets Amlodipine besylate-5 mg Tablets (amlodipine besylate, USP equivalent to 5 mg of amlodipine per tablet) are supplied as white, round, flat-faced, beveled edged tablets debossed with IG on one side and 238 on the other and supplied as follows: NDC 76282-238-90 Bottle of 90 NDC 76282-238-05 Bottle of 500 NDC 76282-238-10 Bottle of 1000 16.3 10 mg Tablets Amlodipine besylate-10 mg Tablets (amlodipine besylate, USP equivalent to 10 mg of amlodipine per tablet) are supplied as white, round, flat-faced, beveled edged tablets debossed with IG on one side and 239 on the other and supplied as follows: NDC 76282-239-90 Bottle of 90 NDC 76282-239-05 Bottle of 500 NDC 76282-239-10 Bottle of 1000

16.4Storage Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature]. Manufactured by: InvaGen Pharmaceuticals, Inc. Hauppauge, NY 11788 Manufactured for: Exelan Pharmaceuticals, Inc. Peachtree City, GA 30269 Rev: 10/11

📋 Description 111 words ▾

11 DESCRIPTION Amlodipine besylate, USP is the besylate salt of amlodipine, a long-acting calcium channel blocker. Amlodipine besylate, USP is chemically described as 3-Ethyl-5-methyl (±)-2-[(2-aminoethoxy)methyl]-4-(2-chlorophenyl)-1,4-dihydro-6-methyl-3,5-pyridinedicarboxylate, monobenzenesulphonate. Its empirical formula is C20H25CIN2O5•C6H6O3S, and its structural formula is: Amlodipine besylate, USP is a white crystalline powder with a molecular weight of 567.1.

It is slightly soluble in water and sparingly soluble in ethanol. Amlodipine besylate tablets, USP are formulated as white tablets equivalent to 2.5, 5, and 10 mg of amlodipine for oral administration. In addition to the active ingredient, amlodipine besylate, USP each tablet contains the following inactive ingredients: microcrystalline cellulose, dibasic calcium phosphate anhydrous, sodium starch glycolate, and magnesium stearate. structure

💬 Information for Patients ~3 min read ▾

SUMMARY OF INFORMATION ABOUT AMLODIPINE BESYLATE TABLETS, USP Read this information carefully before you start taking amlodipine besylate tablets and each time you refill your prescription. There may be new information. This information does not replace talking with your doctor.

If you have any questions about amlodipine besylate tablets, ask your doctor. Your doctor will know if amlodipine besylate tablets are right for you. What are amlodipine besylate tablets?

Amlodipine besylate tablets are a type of medicine known as a calcium channel blocker (CCB). It is used to treat high blood pressure (hypertension) and a type of chest pain called angina. It can be used by itself or with other medicines to treat these conditions.

High Blood Pressure (hypertension) High blood pressure comes from blood pushing too hard against your blood vessels. Amlodipine besylate tablets relaxes your blood vessels, which lets your blood flow more easily and helps lower your blood pressure. Drugs that lower blood pressure lower your risk of having a stroke or heart attack.

Angina Angina is a pain or discomfort that keeps coming back when part of your heart does not get enough blood. Angina feels like a pressing or squeezing pain, usually in your chest under the breastbone. Sometimes you can feel it in your shoulders, arms, neck, jaws, or back.

Amlodipine besylate tablets can relieve this pain. Who should not use amlodipine besylate tablets? Do not use amlodipine besylate tablets if you are allergic to amlodipine (the active ingredient in amlodipine), or to the inactive ingredients.

Your doctor or pharmacist can give you a list of these ingredients. What should I tell my doctor before taking amlodipine besylate tablets? Tell your doctor about any prescription and non-prescription medicines you are taking, including natural or herbal remedies.

Tell your doctor if you: ever had heart disease ever had liver problems are pregnant, or plan to become pregnant. Your doctor will decide if amlodipine besylate tablets is the best treatment for you. are breast-feeding. Do not breast-feed while taking amlodipine besylate tablets.

You can stop breast-feeding or take a different medicine. How should I take amlodipine besylate tablets? Take amlodipine once a day, with or without food.

It may be easier to take your dose if you do it at the same time every day, such with breakfast or dinner, or at bedtime. Do not take more than one dose of amlodipine besylate tablets at a time. If you miss a dose, take it as soon as you remember.

Do not take amlodipine besylate tablets if it has been more than 12 hours since you missed your last dose. Wait and take the next dose at your regular time. Other medicines: You can use nitroglycerin and amlodipine besylate tablets together.

If you take nitroglycerin for angina, don’t stop taking it while you are taking amlodipine besylate tablets. While you are taking amlodipine besylate tablets, do not stop taking your other prescription medicines, including any other blood pressure medicines, without talking to your doctor. If you took too many amlodipine besylate tablets, call your doctor or Poison Control Center, or go to the nearest hospital emergency room right away.

What should I avoid while taking amlodipine besylate tablets? Do not breast-feed. It is not known if amlodipine will pass through your milk.

Do not start any new prescription or non-prescription medicines or supplements, unless you check with your doctor first. What are the possible side effects of amlodipine besylate tablets? Amlodipine besylate tablets may cause the following side effects.

Most side effects are mild or moderate: ] headache swelling of your legs or ankles tiredness, extreme sleepiness stomach pain, nausea dizziness flushing (hot or warm feeling in your face) arrhythmia (irregular heartbeat) heart palpitations (very fast heartbeat) It is rare, but when you first start taking amlodipine besylate tablets or increase your dose, you may have a heart attack or y…

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Medicare Part D spend CMS · PART D · 2026 (Q1)

Medicare Part D (outpatient prescription) spending for Amlodipine Besylate — the program that covers self-administered drugs. 21 manufacturers.
⚠️ Drug-level data: CMS publishes Part D spending by drug, not by NDC — these figures combine every manufacturer, strength and package size sold under the name Amlodipine Besylate. That’s a different level of aggregation than the Medicaid card above, which is specific to this exact 11-digit NDC (pack size included), so the two aren’t directly comparable.
Period
Total Part D spend
$85.77M
Claims incl. refills
12.9M
Beneficiaries
9.9M
Spend / beneficiary
$8.67
Spend / claim
$6.65
Trend by period
💵 About the dollar figures: spending is what Part D plans paid before confidential manufacturer rebates, so the program’s real net cost is lower. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part D Spending by Drug (data.cms.gov), updated quarterly.

About this NDC listing & data coverage

Finished prescription product
What data is (and isn’t) available for this NDC — tap to expand
NDC identity (package / product / labeler codes) ✓ Available
Labeler ✓ Available
Product & package description ✓ Available
Marketing category & status ✓ Available
Active ingredient / dosage form / route ✓ Available
FDA label (SPL via DailyMed) ✓ Available
Package photos ✓ Available
Inactive ingredients (structured) ✓ Available
NADAC pharmacy acquisition price (CMS) — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey.
Orange Book / therapeutic-equivalence data ✓ Available
HCPCS J-code billing crosswalk — Not published for this NDC Most self-administered / retail products have no J-code — that is normal.
Medicaid utilization (CMS SDUD) — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold.
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The form printed on the packaging and shown on DailyMed is the one the FDA registered. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero and the dashes are dropped. The Identity section at the top of this page lists each form of this code.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by Aphena Pharma Solutions - Tennessee, LLC. Listing status can change — the directory data on this page refreshes weekly.
Does this product come in other package sizes?
Yes — the FDA directory lists 2 other package presentations of this same product, including 45 tablets (43353-0989-45), 90 tablets (43353-0989-60). Each has its own NDC and its own page — see the package list near the top of this page.
Who lists this product with the FDA?
Aphena Pharma Solutions - Tennessee, LLC is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as a prescription product, so it is dispensed under a prescriber's order. Your pharmacist can tell you whether any over-the-counter forms of the same medication exist.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.
← 43353-0987-30 · Aphena 43367-0060-01 · Topchem →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.