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Products found: 20

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DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Inter- change- able	Limited Use	Thera- peutic Notes
02244757	ABACAVIR & LAMIVUDINE & ZIDOVUDINE	Trizivir 300mg & 150mg & 300mg Tab	VIH	19.0426	13.6425	YES	NO	NO
02240358	ABACAVIR SULFATE	Ziagen 20mg/mL O/L	VIH	0.5998	0.5998	NO	NO	NO
02240357	ABACAVIR SULFATE	Ziagen 300mg Tab	VIH	8.6725	3.4828	YES	NO	NO
02269341	ABACAVIR SULFATE & LAMIVUDINE	Kivexa 600mg & 300mg Tab	VIH	28.3100	5.9875	YES	NO	NO
02497204	CABOTEGRAVIR	Vocabria 30mg Tab	VIH	30.0750	30.0750	NO	NO	NO
02497220	CABOTEGRAVIR & RILPIVIRINE	Cabenuva 200mg/mL & 300mg/mL Inj Sol-2mL Kit	VIH	1284.3600	1284.3600	NO	NO	NO
02497247	CABOTEGRAVIR & RILPIVIRINE	Cabenuva 200mg/mL & 300mg/mL Inj Sol-3mL Kit	VIH	2568.7100	2568.7100	NO	NO	NO
02414945	DOLUTEGRAVIR	Tivicay 50mg Tab	VIH	22.9627	22.9627	NO	NO	NO
02430932	DOLUTEGRAVIR & ABACAVIR & LAMIVUDINE	Triumeq 50mg & 600mg & 300mg Tab	VIH	50.8730	50.8730	NO	NO	NO
02475774	DOLUTEGRAVIR & RILPIVIRINE	Juluca 50mg & 25mg Tab	VIH	39.9360	39.9360	NO	NO	NO
02491753	DOLUTEGRAVIR SODIUM/LAMIVUDINE	Dovato 50mg & 300mg Tab	VIH	34.8650	34.8650	NO	NO	NO
02261553	FOSAMPRENAVIR CALCIUM	Telzir 50mg/mL Oral Susp	VIH	0.6535	0.6535	NO	NO	NO
02261545	FOSAMPRENAVIR CALCIUM	Telzir 700mg Tab	VIH	9.4389	9.4389	NO	NO	NO
02192691	LAMIVUDINE	3TC 10mg/mL O/L	VIH	0.4167	0.4167	NO	NO	YES
02192683	LAMIVUDINE	3TC 150mg Tab	VIH	6.4532	2.7323	YES	NO	YES
02247825	LAMIVUDINE	3TC 300mg Tab	VIH	12.9560	5.4857	YES	NO	YES
02239213	LAMIVUDINE & ZIDOVUDINE	Combivir 150mg & 300mg Tab	VIH	13.2262	2.6103	YES	NO	NO
02299844	MARAVIROC	Celsentri 150mg Tab	VIH	21.1137	21.1137	NO	NO	NO
02299852	MARAVIROC	Celsentri 300mg Tab	VIH	21.1137	21.1137	NO	NO	NO
01902660	ZIDOVUDINE	Retrovir (Off-Formulary Interchangeable) 100mg Cap	VIH	N/A	N/A	YES	NO	NO

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