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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
00653241	ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE	Teva-Lenoltec No.2 300mg & 15mg & 15mg Tab	TEV	0.0889	0.0889	YES	NO	YES
00653276	ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE	Teva-Lenoltec No.3 300mg & 15mg & 30mg Tab	TEV	0.0933	0.0933	YES	NO	YES
02163934	ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE	Tylenol with Codeine No. 2 (Not a Benefit) 300mg & 15mg & 15mg Tab	JAN	N/A	N/A	YES	NO	YES
02163926	ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE	Tylenol with Codeine No. 3 (Not a Benefit) 300mg & 15mg & 30mg Tab	JAN	N/A	N/A	YES	NO	YES
00816027	ACETAMINOPHEN & CODEINE PHOSPHATE	PMS-Acetaminophen With Codeine 160mg & 8mg/5mL O/L	PMS	0.1074	0.1074	YES	NO	YES
02163942	ACETAMINOPHEN & CODEINE PHOSPHATE	Tylenol With Codeine Elixir (Not a Benefit) 160mg & 8mg/5mL O/L	JAN	N/A	N/A	YES	NO	YES
00666130	ACETAMINOPHEN & CODEINE PHOSPHATE	Empracet-30 (Not a Benefit) 300mg & 30mg Tab	BWE	N/A	N/A	YES	NO	YES
00608882	ACETAMINOPHEN & CODEINE PHOSPHATE	Teva-Emtec-30 300mg & 30mg Tab	TEV	0.1300	0.1300	YES	NO	YES
00621463	ACETAMINOPHEN & CODEINE PHOSPHATE	Teva-Lenoltec No.4 300mg & 60mg Tab	TEV	0.1685	0.1685	YES	NO	YES
02163918	ACETAMINOPHEN & CODEINE PHOSPHATE	Tylenol with Codeine No. 4 (Not a Benefit) 300mg & 60mg Tab	JAN	N/A	N/A	YES	NO	YES
00226327	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE	Fiorinal (Off-Formulary Interchangeable) 330mg & 50mg & 40mg Cap	NOV	N/A	N/A	YES	NO	YES
00608238	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE	Ratio-Tecnal (Off-Formulary Interchangeable) 330mg & 50mg & 40mg Cap	RPH	1.6192	N/A	YES	NO	YES
02554623	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Apo-Butalbital-ASA-Caffeine-Codeine-C1/2 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 30mg Cap	APX	2.1261	N/A	YES	NO	YES
02554615	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Apo-Butalbital-ASA-Caffeine-Codeine-C1/4 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 15mg Cap	APX	1.7363	N/A	YES	NO	YES
00176206	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Fiorinal C1/2 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 30mg Cap	NOV	N/A	N/A	YES	NO	YES
00176192	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Fiorinal C1/4 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 15mg Cap	NOV	N/A	N/A	YES	NO	YES
00608181	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Ratio-Tecnal C1/2 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 30mg Cap	RPH	2.1261	N/A	YES	NO	YES
00608203	ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE	Ratio-Tecnal C1/4 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 15mg Cap	RPH	1.7363	N/A	YES	NO	YES
00779458	CODEINE PHOSPHATE	Codeine (Not a Benefit) 15mg Tab	ROG	N/A	N/A	YES	NO	YES
00593435	CODEINE PHOSPHATE	Teva-Codeine 15mg Tab	TEV	0.0542	0.0542	YES	NO	YES
00593451	CODEINE PHOSPHATE	Teva-Codeine 30mg Tab	TEV	0.0966	0.0966	NO	NO	YES
02163780	CODEINE SULFATE TRIHYDRATE & MONOHYDRATE	Codeine Contin 150mg CR Tab	PFP	1.5116	1.5116	NO	YES	YES
02163748	CODEINE SULFATE TRIHYDRATE & MONOHYDRATE	Codeine Contin 100mg CR Tab	PFP	1.0074	1.0074	NO	YES	YES
02230302	CODEINE SULFATE TRIHYDRATE & MONOHYDRATE	Codeine Contin 50mg CR Tab	PFP	0.5032	0.5032	NO	YES	YES
02163799	CODEINE SULFATE TRIHYDRATE & MONOHYDRATE	Codeine Contin 200mg CR Tab	PFP	2.0148	2.0148	NO	YES	YES
02275821	FENTANYL TRANSDERMAL SYSTEM	Duragesic (Not a Benefit) 50mcg/hr Trans Patch	JAN	N/A	N/A	YES	NO	YES
02275813	FENTANYL TRANSDERMAL SYSTEM	Duragesic (Not a Benefit) 25mcg/hr Trans Patch	JAN	N/A	N/A	YES	NO	YES
02275856	FENTANYL TRANSDERMAL SYSTEM	Duragesic (Off-Formulary Interchangeable) 100mcg/hr Trans Patch	JAN	N/A	N/A	YES	NO	YES
02275848	FENTANYL TRANSDERMAL SYSTEM	Duragesic (Off-Formulary Interchangeable) 75mcg/hr Trans Patch	JAN	N/A	N/A	YES	NO	YES
01937413	FENTANYL TRANSDERMAL SYSTEM	Duragesic 100 (Off-Formulary Interchangeable) 100mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
09858350	FENTANYL TRANSDERMAL SYSTEM	Duragesic 12 (Not a Benefit) 12mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
02280345	FENTANYL TRANSDERMAL SYSTEM	Duragesic 12 (Not a Benefit) 12mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
01937383	FENTANYL TRANSDERMAL SYSTEM	Duragesic 25 (Not a Benefit) 25mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
01937391	FENTANYL TRANSDERMAL SYSTEM	Duragesic 50 (Not a Benefit) 50mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
01937405	FENTANYL TRANSDERMAL SYSTEM	Duragesic 75 (Off-Formulary Interchangeable) 75mcg/hr Trans Patch	JNO	N/A	N/A	YES	NO	YES
02327163	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch (Off-Formulary Interchangeable) 100mcg/hr Trans Patch	SDZ	28.1950	N/A	YES	NO	YES
02327155	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch (Off-Formulary Interchangeable) 75mcg/hr Trans Patch	SDZ	22.6500	N/A	YES	NO	YES
02327147	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch 50mcg/hr Trans Patch	SDZ	16.1100	16.1100	YES	YES	YES
02327120	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch 25mcg/hr Trans Patch	SDZ	8.5600	8.5600	YES	YES	YES
02327112	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch 12mcg/hr Trans Patch	SDZ	3.3200	3.3200	YES	YES	YES
09858348	FENTANYL TRANSDERMAL SYSTEM	Sandoz Fentanyl Patch 12mcg/hr Trans Patch	SDZ	3.3200	3.3200	YES	YES	YES
02282976	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl (Off-Formulary Interchangeable) 75mcg/hr Trans Patch	TEV	22.6500	N/A	YES	NO	YES
02282968	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl 50mcg/hr Trans Patch	TEV	16.1100	16.1100	YES	YES	YES
02282941	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl 25mcg/hr Trans Patch	TEV	8.5600	8.5600	YES	YES	YES
09858349	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl 12mcg/hr Trans Patch	TEV	3.3200	3.3200	YES	YES	YES
02311925	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl 12mcg/hr Trans Patch	TEV	3.3200	3.3200	YES	YES	YES
02282984	FENTANYL TRANSDERMAL SYSTEM	Teva-Fentanyl (Off-Formulary Interchangeable) 100mcg/hr Trans Patch	TEV	28.1950	N/A	YES	NO	YES
02359502	HYDROMORPHONE HCL	Hydromorph Contin 4.5mg CR Cap	PFP	0.9549	0.9549	NO	NO	YES
02359510	HYDROMORPHONE HCL	Hydromorph Contin 9mg CR Cap	PFP	1.5600	1.5600	NO	NO	YES
02125323	HYDROMORPHONE HCL	Hydromorph Contin 3mg CR Cap	PFP	0.7913	0.7913	NO	NO	YES
02125331	HYDROMORPHONE HCL	Hydromorph Contin 6mg CR Cap	PFP	1.1823	1.1823	NO	NO	YES
02125366	HYDROMORPHONE HCL	Hydromorph Contin 12mg CR Cap	PFP	2.0559	2.0559	NO	NO	YES
02243562	HYDROMORPHONE HCL	Hydromorph Contin 18mg CR Cap	PFP	2.9661	2.9661	NO	NO	YES
02125382	HYDROMORPHONE HCL	Hydromorph Contin (Off-Formulary Interchangeable) 24mg CR Cap	PFP	4.3022	4.3022	NO	NO	YES
02125390	HYDROMORPHONE HCL	Hydromorph Contin (Off-Formulary Interchangeable) 30mg CR Cap	PFP	5.1553	5.1553	NO	NO	YES
00627100	HYDROMORPHONE HCL	Dilaudid (Not a Benefit) 2mg/mL Inj Sol-1mL Pk	PFP	N/A	N/A	YES	NO	YES
00622133	HYDROMORPHONE HCL	Dilaudid-HP (Not a Benefit) 10mg/mL Inj Sol-1mL Pk	PFP	N/A	N/A	YES	NO	YES
02145901	HYDROMORPHONE HCL	Hydromorphone 2mg/mL Inj Sol-1mL Pk	SDZ	1.7830	1.7830	YES	NO	YES
02145928	HYDROMORPHONE HCL	Hydromorphone HP-10 10mg/mL Inj Sol-1mL Pk	SDZ	4.3460	4.3460	YES	NO	YES
00786535	HYDROMORPHONE HCL	Dilaudid (Not a Benefit) 1mg/mL Oral Sol	PFP	N/A	N/A	YES	NO	YES
01916386	HYDROMORPHONE HCL	PMS-HYDROmorphone 1mg/mL Oral Sol	PMS	0.0827	0.0827	YES	NO	YES
02364131	HYDROMORPHONE HCL	Apo-Hydromorphone 4mg Tab	APX	0.2240	0.2240	YES	NO	YES
02364158	HYDROMORPHONE HCL	Apo-Hydromorphone 8mg Tab	APX	0.3528	0.3528	YES	NO	YES
02364123	HYDROMORPHONE HCL	Apo-Hydromorphone 2mg Tab	APX	0.1417	0.1417	YES	NO	YES
02364115	HYDROMORPHONE HCL	Apo-Hydromorphone 1mg Tab	APX	0.0959	0.0959	YES	NO	YES
00125121	HYDROMORPHONE HCL	Dilaudid 4mg Tab	PFP	0.2418	0.2240	YES	NO	YES
00705438	HYDROMORPHONE HCL	Dilaudid 1mg Tab	PFP	0.1039	0.0959	YES	NO	YES
00786543	HYDROMORPHONE HCL	Dilaudid 8mg Tab	PFP	0.3812	0.3528	YES	NO	YES
00125083	HYDROMORPHONE HCL	Dilaudid 2mg Tab	PFP	0.1533	0.1417	YES	NO	YES
00885444	HYDROMORPHONE HCL	PMS-HYDROmorphone 1mg Tab	PMS	0.0959	0.0959	YES	NO	YES
00885436	HYDROMORPHONE HCL	PMS-HYDROmorphone 2mg Tab	PMS	0.1417	0.1417	YES	NO	YES
00885401	HYDROMORPHONE HCL	PMS-HYDROmorphone 4mg Tab	PMS	0.2240	0.2240	YES	NO	YES
00885428	HYDROMORPHONE HCL	PMS-HYDROmorphone 8mg Tab	PMS	0.3528	0.3528	YES	NO	YES
02319446	HYDROMORPHONE HCL	Teva-Hydromorphone 8mg Tab	TEV	0.3528	0.3528	YES	NO	YES
02319438	HYDROMORPHONE HCL	Teva-Hydromorphone 4mg Tab	TEV	0.2240	0.2240	YES	NO	YES
02319403	HYDROMORPHONE HCL	Teva-Hydromorphone 1mg Tab	TEV	0.0959	0.0959	YES	NO	YES
02319411	HYDROMORPHONE HCL	Teva-Hydromorphone 2mg Tab	TEV	0.1417	0.1417	YES	NO	YES
02244290	METHADONE HCL	Metadol-D 10mg/mL Oral Concentrate	PAL	0.1607	0.1607	NO	NO	YES
02394596	METHADONE HCL	Methadose 10mg/mL Oral Concentrate (Cherry Flavour)	MAL	0.0525	0.0525	YES	NO	YES
02495872	METHADONE HCL	Odan-Methadone 10mg/mL Oral Concentrate (Cherry Flavour)	ODN	0.0525	0.0525	YES	NO	YES
02495783	METHADONE HCL	Jamp Methadone Oral Concentrate 10mg/mL Oral Concentrate (Unflavoured)	JPC	0.0525	0.0525	YES	NO	YES
02394618	METHADONE HCL	Methadose 10mg/mL Oral Concentrate (Unflavoured)	MAL	0.0525	0.0525	YES	NO	YES
02495880	METHADONE HCL	Odan-Methadone 10mg/mL Oral Concentrate (Unflavoured)	ODN	0.0525	0.0525	YES	NO	YES
02533642	METHADONE HCL	Apo-Methadone (Off-Formulary Interchangeable) 1mg Tab	APX	0.1026	0.1026	YES	NO	YES
02533669	METHADONE HCL	Apo-Methadone (Off-Formulary Interchangeable) 10mg Tab	APX	0.5466	0.5466	YES	NO	YES
02533650	METHADONE HCL	Apo-Methadone (Off-Formulary Interchangeable) 5mg Tab	APX	0.3417	0.3417	YES	NO	YES
02533677	METHADONE HCL	Apo-Methadone (Off-Formulary Interchangeable) 25mg Tab	APX	1.0157	1.0157	YES	NO	YES
02247701	METHADONE HCL	Metadol (Off-Formulary Interchangeable) 25mg Tab	PMS	1.3850	1.0157	YES	NO	YES
02247700	METHADONE HCL	Metadol (Off-Formulary Interchangeable) 10mg Tab	PMS	0.7454	0.5466	YES	NO	YES
02247699	METHADONE HCL	Metadol (Off-Formulary Interchangeable) 5mg Tab	PMS	0.4659	0.3417	YES	NO	YES
02247698	METHADONE HCL	Metadol (Off-Formulary Interchangeable) 1mg Tab	PMS	0.1399	0.1026	YES	NO	YES
02019930	MORPHINE SULFATE	M-Eslon 10mg ER Cap	ETH	0.3416	0.3416	NO	NO	YES
02177749	MORPHINE SULFATE	M-Eslon 15mg ER Cap	ETH	0.3941	0.3941	NO	NO	YES
02019949	MORPHINE SULFATE	M-Eslon 30mg ER Cap	ETH	0.5875	0.5875	NO	NO	YES
02019957	MORPHINE SULFATE	M-Eslon 60mg ER Cap	ETH	1.0457	1.0457	NO	NO	YES
02019965	MORPHINE SULFATE	M-Eslon 100mg ER Cap	ETH	2.2554	2.2554	NO	NO	YES
00392561	MORPHINE SULFATE	Morphine Sulfate 15mg/mL Inj Sol Amp	SDZ	2.0940	2.0940	YES	NO	YES
00392588	MORPHINE SULFATE	Morphine Sulfate 10mg/mL Inj Sol Amp	SDZ	2.3860	2.3860	NO	NO	YES
00850330	MORPHINE SULFATE	Morphine Sulfate Injection USP (Not a Benefit) 15mg/mL Inj Sol Amp	HOS	N/A	N/A	YES	NO	YES
02242484	MORPHINE SULFATE	Morphine Sulfate Injection USP 2mg/mL Inj Sol Amp	SDZ	2.2510	2.2510	NO	NO	YES
00617288	MORPHINE SULFATE	Morphine HP-50 50mg/mL Inj Sol-1mL Pk	SDZ	6.8195	6.8195	NO	NO	YES
02242163	MORPHINE SULFATE	Kadian 10mg SR Cap	BGP	0.4648	0.4648	NO	NO	YES
02184435	MORPHINE SULFATE	Kadian 20mg SR Cap	BGP	0.9029	0.9029	NO	NO	YES
02184451	MORPHINE SULFATE	Kadian 100mg SR Cap	BGP	2.9793	2.9793	NO	NO	YES
02184443	MORPHINE SULFATE	Kadian 50mg SR Cap	BGP	1.7080	1.7080	NO	NO	YES
02014300	MORPHINE SULFATE	MS Contin 60mg SR Tab	PFP	2.6322	1.2180	YES	NO	YES
02014319	MORPHINE SULFATE	MS Contin 100mg SR Tab	PFP	4.0069	1.5395	YES	NO	YES
02014327	MORPHINE SULFATE	MS Contin (Off-Formulary Interchangeable) 200mg SR Tab	PFP	7.4705	4.5738	YES	NO	YES
02015439	MORPHINE SULFATE	MS Contin 15mg SR Tab	PFP	0.9878	0.4145	YES	NO	YES
02014297	MORPHINE SULFATE	MS Contin 30mg SR Tab	PFP	1.4931	0.6580	YES	NO	YES
02244790	MORPHINE SULFATE	Sandoz Morphine SR 15mg SR Tab	SDZ	0.4145	0.4145	YES	NO	YES
02244791	MORPHINE SULFATE	Sandoz Morphine SR 30mg SR Tab	SDZ	0.6580	0.6580	YES	NO	YES
02478897	MORPHINE SULFATE	Sandoz Morphine SR (Off-Formulary Interchangeable) 200mg SR Tab	SDZ	4.5738	4.5738	YES	NO	YES
02478889	MORPHINE SULFATE	Sandoz Morphine SR 100mg SR Tab	SDZ	1.5395	1.5395	YES	NO	YES
02244792	MORPHINE SULFATE	Sandoz Morphine SR 60mg SR Tab	SDZ	1.2180	1.2180	YES	NO	YES
02302799	MORPHINE SULFATE	Teva-Morphine SR 100mg SR Tab	TEV	1.5395	1.5395	YES	NO	YES
02302772	MORPHINE SULFATE	Teva-Morphine SR 30mg SR Tab	TEV	0.6580	0.6580	YES	NO	YES
02302764	MORPHINE SULFATE	Teva-Morphine SR 15mg SR Tab	TEV	0.4145	0.4145	YES	NO	YES
02302802	MORPHINE SULFATE	Teva-Morphine SR (Off-Formulary Interchangeable) 200mg SR Tab	TEV	4.5737	4.5737	YES	NO	YES
02302780	MORPHINE SULFATE	Teva-Morphine SR 60mg SR Tab	TEV	1.2180	1.2180	YES	NO	YES
02014254	MORPHINE SULFATE	MS-IR 30mg Tab	PFP	0.5912	0.5912	NO	NO	YES
02014238	MORPHINE SULFATE	MS-IR 20mg Tab	PFP	0.4605	0.4605	NO	NO	YES
02549794	MORPHINE SULFATE	PMS-Morphine Sulfate 5mg Tab	PMS	0.0967	0.0967	YES	NO	YES
02549808	MORPHINE SULFATE	PMS-Morphine Sulfate 10mg Tab	PMS	0.1494	0.1494	YES	NO	YES
00594652	MORPHINE SULFATE	Statex 5mg Tab	PPI	0.1289	0.0967	YES	NO	YES
00594644	MORPHINE SULFATE	Statex 10mg Tab	PPI	0.1992	0.1494	YES	NO	YES
02231934	OXYCODONE HCL	Oxy.IR (Off-Formulary Interchangeable) 5mg Tab	PFP	N/A	N/A	YES	NO	YES
02240131	OXYCODONE HCL	Oxy.IR (Off-Formulary Interchangeable) 10mg Tab	PFP	N/A	N/A	YES	NO	YES
02240132	OXYCODONE HCL	Oxy.IR (Off-Formulary Interchangeable) 20mg Tab	PFP	N/A	N/A	YES	NO	YES
02319993	OXYCODONE HCL	PMS-Oxycodone (Off-Formulary Interchangeable) 20mg Tab	PMS	0.6001	0.6001	YES	NO	YES
02319985	OXYCODONE HCL	PMS-Oxycodone (Off-Formulary Interchangeable) 10mg Tab	PMS	0.3451	0.3451	YES	NO	YES
02319977	OXYCODONE HCL	PMS-Oxycodone (Off-Formulary Interchangeable) 5mg Tab	PMS	0.2333	0.2333	YES	NO	YES
02262983	OXYCODONE HCL	Supeudol (Off-Formulary Interchangeable) 20mg Tab	SDZ	0.6001	0.6001	YES	NO	YES
00443948	OXYCODONE HCL	Supeudol (Off-Formulary Interchangeable) 10mg Tab	SDZ	0.3451	0.3451	YES	NO	YES
00789739	OXYCODONE HCL	Supeudol (Off-Formulary Interchangeable) 5mg Tab	SDZ	0.2333	0.2333	YES	NO	YES
02324628	OXYCODONE HCL & ACETAMINOPHEN	Apo-Oxycodone/Acet 5mg & 325mg Tab	APX	0.1285	0.1285	YES	NO	YES
01916548	OXYCODONE HCL & ACETAMINOPHEN	Endocet 5mg & 325mg Tab	BQU	0.1285	0.1285	YES	NO	YES
01916475	OXYCODONE HCL & ACETAMINOPHEN	Percocet (Not a Benefit) 5mg & 325mg Tab	BQU	N/A	N/A	YES	NO	YES
02307898	OXYCODONE HCL & ACETAMINOPHEN	Sandoz Oxycodone/Acetaminophen 5mg & 325mg Tab	SDZ	0.1285	0.1285	YES	NO	YES
00608165	OXYCODONE HCL & ACETAMINOPHEN	Teva-Oxycocet 5mg & 325mg Tab	TEV	0.1285	0.1285	YES	NO	YES
01916572	OXYCODONE HCL & ACETYLSALICYLIC ACID	Percodan (Not a Benefit) 5mg & 325mg Tab	BQU	N/A	N/A	YES	NO	YES
00608157	OXYCODONE HCL & ACETYLSALICYLIC ACID	Ratio-Oxycodan 5mg & 325mg Tab	RPH	0.4599	0.4599	YES	NO	YES
02450445	TRAMADOL HCL	Taro-Tramadol ER (Off-Formulary Interchangeable) 300mg ER Tab	TAR	1.2854	N/A	YES	NO	YES
02450437	TRAMADOL HCL	Taro-Tramadol ER (Off-Formulary Interchangeable) 200mg ER Tab	TAR	0.9244	N/A	YES	NO	YES
02450429	TRAMADOL HCL	Taro-Tramadol ER (Off-Formulary Interchangeable) 100mg ER Tab	TAR	0.7853	N/A	YES	NO	YES
02296381	TRAMADOL HCL	Tridural (Off-Formulary Interchangeable) 100mg ER Tab	PAL	N/A	N/A	YES	NO	YES
02296403	TRAMADOL HCL	Tridural (Off-Formulary Interchangeable) 200mg ER Tab	PAL	N/A	N/A	YES	NO	YES
02296411	TRAMADOL HCL	Tridural (Off-Formulary Interchangeable) 300mg ER Tab	PAL	N/A	N/A	YES	NO	YES
02426153	TRAMADOL HCL	Apo-Tramadol (Off-Formulary Interchangeable) 50mg Tab	APX	0.6386	N/A	YES	NO	YES
02479672	TRAMADOL HCL	Auro-Tramadol (Off-Formulary Interchangeable) 50mg Tab	AUR	0.6386	N/A	YES	NO	YES
02507005	TRAMADOL HCL	Jamp Tramadol (Off-Formulary Interchangeable) 50mg Tab	JPC	0.6386	N/A	YES	NO	YES
02518759	TRAMADOL HCL	Jamp Tramadol HCl (Off-Formulary Interchangeable) 50mg Tab	JPC	0.6386	N/A	YES	NO	YES
02480859	TRAMADOL HCL	Mar-Tramadol (Off-Formulary Interchangeable) 50mg Tab	MAR	0.6386	N/A	YES	NO	YES
02493764	TRAMADOL HCL	Sandoz Tramadol (Off-Formulary Interchangeable) 50mg Tab	SDZ	0.6386	N/A	YES	NO	YES
02349469	TRAMADOL HCL	Ultram (Off-Formulary Interchangeable) 50mg Tab	JAN	N/A	N/A	YES	NO	YES
02336790	TRAMADOL HCL & ACETAMINOPHEN	Apo-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	APX	0.6264	N/A	YES	NO	YES
02439050	TRAMADOL HCL & ACETAMINOPHEN	Auro-Tramadol/Acetaminophen (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	AUR	0.6264	N/A	YES	NO	YES
02383209	TRAMADOL HCL & ACETAMINOPHEN	Co Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	COB	0.6264	N/A	YES	NO	YES
02388308	TRAMADOL HCL & ACETAMINOPHEN	Jamp-Acet-Tramadol (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	JPC	0.6264	N/A	YES	NO	YES
02388324	TRAMADOL HCL & ACETAMINOPHEN	Mar-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	MAR	0.6264	N/A	YES	NO	YES
02389800	TRAMADOL HCL & ACETAMINOPHEN	Mint-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	MIN	0.6264	N/A	YES	NO	YES
02469650	TRAMADOL HCL & ACETAMINOPHEN	NRA-Tramadol/ACET (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	NRA	0.6264	N/A	YES	NO	YES
02401657	TRAMADOL HCL & ACETAMINOPHEN	PMS-Tramadol-Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	PMS	0.6264	N/A	YES	NO	YES
02388197	TRAMADOL HCL & ACETAMINOPHEN	Taro-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	SPC	0.6264	N/A	YES	NO	YES
02347180	TRAMADOL HCL & ACETAMINOPHEN	Teva-Tramadol/Acetaminophen (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	TEV	0.6264	N/A	YES	NO	YES
02264846	TRAMADOL HCL & ACETAMINOPHEN	Tramacet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	JAN	N/A	N/A	YES	NO	YES

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