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Products found: 67

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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
02485184	ALENDRONATE	AG-Alendronate 70mg Tab	ANG	1.7804	1.7804	YES	NO	NO
02477726	AMOXICILLIN	AG-Amoxicillin 500mg Cap	ANG	0.1308	0.1308	YES	NO	NO
02369192	ATENOLOL	AG-Atenolol 100mg Tab	ANG	0.1543	0.1543	YES	NO	NO
02369184	ATENOLOL	AG-Atenolol 50mg Tab	ANG	0.0938	0.0938	YES	NO	NO
02478161	ATORVASTATIN CALCIUM	AG-Atorvastatin 40mg Tab	ANG	0.2342	0.2342	YES	NO	NO
02478188	ATORVASTATIN CALCIUM	AG-Atorvastatin 80mg Tab	ANG	0.2342	0.2342	YES	NO	NO
02478153	ATORVASTATIN CALCIUM	AG-Atorvastatin 20mg Tab	ANG	0.2179	0.2179	YES	NO	NO
02478145	ATORVASTATIN CALCIUM	AG-Atorvastatin 10mg Tab	ANG	0.1743	0.1743	YES	NO	NO
02480700	AZITHROMYCIN	AG-Azithromycin 250mg Tab	ANG	0.9410	0.9410	YES	NO	YES
02437589	CELECOXIB	AG-Celecoxib 200mg Cap	ANG	0.2558	0.2558	YES	YES	YES
02437570	CELECOXIB	AG-Celecoxib 100mg Cap	ANG	0.1279	0.1279	YES	YES	YES
02485419	CYCLOBENZAPRINE HCL	AG-Cyclobenzaprine (Not a Benefit) 10mg Tab	ANG	N/A	N/A	YES	NO	YES
02432692	DONEPEZIL HCL	AG-Donepezil 10mg Tab	ANG	0.4586	0.4586	YES	YES	NO
02432684	DONEPEZIL HCL	AG-Donepezil 5mg Tab	ANG	0.4586	0.4586	YES	YES	NO
02475308	DULOXETINE	AG-Duloxetine 30mg DR Cap	ANG	0.4814	0.3611	YES	NO	NO
02475316	DULOXETINE	AG-Duloxetine 60mg DR Cap	ANG	0.9769	0.7327	YES	NO	NO
02496356	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	AG-Emtricitabine & Tenofovir Disoproxil 200mg & 300mg Tab	ANG	7.3035	7.3035	YES	NO	NO
02475898	EZETIMIBE	AG-Ezetimibe 10mg Tab	ANG	0.1811	0.1811	YES	YES	NO
02509989	FAMOTIDINE	AG-Famotidine 40mg Tab	ANG	0.4834	0.4834	YES	NO	YES
02509970	FAMOTIDINE	AG-Famotidine 20mg Tab	ANG	0.2658	0.2658	YES	NO	YES
02485052	FLUOXETINE HCL	AG-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	ANG	1.1773	N/A	YES	NO	YES
02485060	FLUOXETINE HCL	AG-Fluoxetine 20mg Cap	ANG	0.3311	0.3311	YES	NO	YES
02477912	GABAPENTIN	AG-Gabapentin 100mg Cap	ANG	0.0416	0.0416	YES	NO	NO
02477939	GABAPENTIN	AG-Gabapentin 400mg Cap	ANG	0.1206	0.1206	YES	NO	NO
02477920	GABAPENTIN	AG-Gabapentin 300mg Cap	ANG	0.1012	0.1012	YES	NO	NO
02481316	METOPROLOL TARTRATE	AG-Metoprolol-L 50mg Tab	ANG	0.0624	0.0624	YES	NO	NO
02481324	METOPROLOL TARTRATE	AG-Metoprolol-L 100mg Tab	ANG	0.1361	0.1361	YES	NO	NO
02484757	MOXIFLOXACIN HYDROCHLORIDE	AG-Moxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)	ANG	11.2700	N/A	YES	NO	NO
02478137	MOXIFLOXACIN HYDROCHLORIDE	AG-Moxifloxacin 400mg Tab	ANG	1.5230	1.5230	YES	NO	NO
02487632	OLANZAPINE	AG-Olanzapine FC 10mg Tab	ANG	0.7088	0.7088	YES	NO	NO
02487608	OLANZAPINE	AG-Olanzapine FC 2.5mg Tab	ANG	0.1772	0.1772	YES	NO	NO
02487616	OLANZAPINE	AG-Olanzapine FC 5mg Tab	ANG	0.3544	0.3544	YES	NO	NO
02481588	PANTOPRAZOLE SODIUM	AG-Pantoprazole Sodium 40mg Ent Tab	ANG	0.2016	0.2016	YES	YES	NO
02475537	PAROXETINE HCL	AG-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	ANG	1.0430	N/A	YES	NO	NO
02475545	PAROXETINE HCL	AG-Paroxetine 20mg Tab	ANG	0.3250	0.3250	YES	NO	NO
02475553	PAROXETINE HCL	AG-Paroxetine 30mg Tab	ANG	0.3453	0.3453	YES	NO	NO
02481693	PERINDOPRIL ERBUMINE	AG-Perindopril 8mg Tab	ANG	0.2831	0.2831	YES	NO	NO
02481677	PERINDOPRIL ERBUMINE	AG-Perindopril 2mg Tab	ANG	0.1632	0.1632	YES	NO	NO
02481685	PERINDOPRIL ERBUMINE	AG-Perindopril 4mg Tab	ANG	0.2042	0.2042	YES	NO	NO
02476142	PRAVASTATIN SODIUM	AG-Pravastatin 10mg Tab	ANG	0.2916	0.2916	YES	NO	NO
02476169	PRAVASTATIN SODIUM	AG-Pravastatin 40mg Tab	ANG	0.4143	0.4143	YES	NO	NO
02476150	PRAVASTATIN SODIUM	AG-Pravastatin 20mg Tab	ANG	0.3440	0.3440	YES	NO	NO
02480778	PREGABALIN	AG-Pregabalin 300mg Cap	ANG	0.4145	0.4145	YES	NO	NO
02480751	PREGABALIN	AG-Pregabalin 150mg Cap	ANG	0.4145	0.4145	YES	NO	NO
02480727	PREGABALIN	AG-Pregabalin 25mg Cap	ANG	0.1481	0.1481	YES	NO	NO
02480735	PREGABALIN	AG-Pregabalin 50mg Cap	ANG	0.2324	0.2324	YES	NO	NO
02480743	PREGABALIN	AG-Pregabalin 75mg Cap	ANG	0.3007	0.3007	YES	NO	NO
02475979	QUETIAPINE	AG-Quetiapine 25mg Tab	ANG	0.0494	0.0494	YES	NO	NO
02477572	RAMIPRIL	AG-Ramipril Cap 2.5mg	ANG	0.0817	0.0817	YES	NO	NO
02477580	RAMIPRIL	AG-Ramipril Cap 5mg	ANG	0.0817	0.0817	YES	NO	NO
02477599	RAMIPRIL	AG-Ramipril Cap 10mg	ANG	0.1034	0.1034	YES	NO	NO
02492490	RIZATRIPTAN	AG-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	ANG	11.1150	11.1150	YES	NO	NO
02477904	SERTRALINE HCL	AG-Sertraline 100mg Cap	ANG	0.3303	0.3303	YES	NO	YES
02477882	SERTRALINE HCL	AG-Sertraline 25mg Cap	ANG	0.1516	0.1516	YES	NO	YES
02477890	SERTRALINE HCL	AG-Sertraline 50mg Cap	ANG	0.3032	0.3032	YES	NO	YES
02480050	SIMVASTATIN	AG-Simvastatin 5mg Tab	ANG	0.1023	0.1023	YES	NO	NO
02480085	SIMVASTATIN	AG-Simvastatin 40mg Tab	ANG	0.2501	0.2501	YES	NO	NO
02480077	SIMVASTATIN	AG-Simvastatin 20mg Tab	ANG	0.2501	0.2501	YES	NO	NO
02480069	SIMVASTATIN	AG-Simvastatin 10mg Tab	ANG	0.2023	0.2023	YES	NO	NO
02480093	SIMVASTATIN	AG-Simvastatin 80mg Tab	ANG	0.2501	0.2501	YES	NO	NO
02481421	TADALAFIL	AG-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	ANG	12.3569	12.3569	YES	NO	NO
02475936	TOPIRAMATE	AG-Topiramate 25mg Tab	ANG	0.2433	0.2433	YES	NO	NO
02475944	TOPIRAMATE	AG-Topiramate 100mg Tab	ANG	0.4583	0.4583	YES	NO	NO
02505371	URSODIOL	AG-Ursodiol 500mg Tab	ANG	0.7242	0.7242	YES	YES	NO
02505363	URSODIOL	AG-Ursodiol 250mg Tab	ANG	0.3818	0.3818	YES	YES	NO
02475847	ZOPICLONE	AG-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	ANG	0.4685	0.4685	YES	NO	NO
02475839	ZOPICLONE	AG-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	ANG	0.2231	0.2231	YES	NO	NO

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