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Products found: 25New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02231603CETIRIZINE HYDROCHLORIDEApo-Cetirizine (Off-Formulary Interchangeable) 10mg TabAPX0.4083N/AYESNONO
02453363CETIRIZINE HYDROCHLORIDEApo-Cetirizine (Off-Formulary Interchangeable) 20mg TabAPX0.7535N/AYESNONO
02534126CETIRIZINE HYDROCHLORIDECetirizine (Off-Formulary Interchangeable) 20mg TabSIV0.7535N/AYESNONO
02515695CETIRIZINE HYDROCHLORIDECetirizine (Off-Formulary Interchangeable) 20mg TabSAI0.7535N/AYESNONO
02315955CETIRIZINE HYDROCHLORIDEExtra Strength Allergy Relief (Off-Formulary Interchangeable) 10mg TabPMS0.3938N/AYESNONO
02517566CETIRIZINE HYDROCHLORIDEJamp Cetirizine (Off-Formulary Interchangeable) 10mg TabJPC0.4083N/AYESNONO
02517353CETIRIZINE HYDROCHLORIDEJamp Cetirizine Tablets (Off-Formulary Interchangeable) 20mg TabJPC0.7535N/AYESNONO
02451778CETIRIZINE HYDROCHLORIDEJamp-Cetirizine (Off-Formulary Interchangeable) 10mg TabJPC0.4083N/AYESNONO
02466171CETIRIZINE HYDROCHLORIDEJamp-Cetirizine (Off-Formulary Interchangeable) 20mg TabJPC0.7535N/AYESNONO
02512025CETIRIZINE HYDROCHLORIDEM-Cetirizine (Off-Formulary Interchangeable) 20mg TabMAT0.7535N/AYESNONO
02427141CETIRIZINE HYDROCHLORIDEMar-Cetirizine (Off-Formulary Interchangeable) 20mg TabMAR0.7535N/AYESNONO
02427133CETIRIZINE HYDROCHLORIDEMar-Cetirizine (Off-Formulary Interchangeable) 10mg TabMAR0.4083N/AYESNONO
02491125CETIRIZINE HYDROCHLORIDEMint-Cetirizine (Off-Formulary Interchangeable) 20mg TabMIN0.7535N/AYESNONO
02521806CETIRIZINE HYDROCHLORIDENRA-Cetirizine (Off-Formulary Interchangeable) 20mg TabNRA0.7535N/AYESNONO
02530236CETIRIZINE HYDROCHLORIDENRA-Cetirizine Tablets (Off-Formulary Interchangeable) 20mg TabNRA0.7535N/AYESNONO
02496488CETIRIZINE HYDROCHLORIDENat-Cetirizine (Off-Formulary Interchangeable) 20mg TabNAT0.7535N/AYESNONO
02496461CETIRIZINE HYDROCHLORIDENat-Cetirizine (Off-Formulary Interchangeable) 10mg TabNAT0.4083N/AYESNONO
02315963CETIRIZINE HYDROCHLORIDEPMS-Cetirizine (Off-Formulary Interchangeable) 20mg TabPMS0.7535N/AYESNONO
01900978CETIRIZINE HYDROCHLORIDEReactine (Off-Formulary Interchangeable) 20mg TabMCLN/AN/AYESNONO
02223554CETIRIZINE HYDROCHLORIDEReactine (Off-Formulary Interchangeable) 10mg TabMCLN/AN/AYESNONO
02528681CETIRIZINE HYDROCHLORIDETeva-Cetirizine (Off-Formulary Interchangeable) 20mg TabTEV0.7535N/AYESNONO
02243880LORATADINEApo-Loratadine (Off-Formulary Interchangeable) 10mg TabAPX0.62670.6267YESNONO
00782696LORATADINEClaritin (Off-Formulary Interchangeable) 10mg TabSCPN/AN/AYESNONO
00583979PROMETHAZINE HCLPMS-Promethazine (Not a Benefit) 2mg/mL O/LPMSN/AN/AYESNONO
01937693PROMETHAZINE HCLPhenergan (Not a Benefit) 2mg/mL O/LRPRN/AN/AYESNONO