02436736 | CYPROTERONE ACETATE & ETHINYL ESTRADIOL | Cleo-35 (Off-Formulary Interchangeable) 2mg & 0.035mg Tab-21 Pk | ALH | 23.3394 | N/A | YES | NO | NO |
02536390 | DEXLANSOPRAZOLE | Dexlansoprazole (Off-Formulary Interchangeable) 30mg DR Cap | ALH | 2.0526 | N/A | YES | NO | NO |
02536404 | DEXLANSOPRAZOLE | Dexlansoprazole (Off-Formulary Interchangeable) 60mg DR Cap | ALH | 2.0526 | N/A | YES | NO | NO |
02441853 | PANTOPRAZOLE MAGNESIUM | Pantoprazole Magnesium 40mg Ent Coated Tab | ALH | 0.1875 | 0.1875 | YES | NO | NO |