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Products found: 67New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02485184ALENDRONATEAG-Alendronate 70mg TabANG2.10142.1014YESNONO
02477726AMOXICILLINAG-Amoxicillin 500mg CapANG0.13080.1308YESNOYES
02369192ATENOLOLAG-Atenolol 100mg TabANG0.18210.1821YESNONO
02369184ATENOLOLAG-Atenolol 50mg TabANG0.11070.1107YESNONO
02478145ATORVASTATIN CALCIUMAG-Atorvastatin 10mg TabANG0.17430.1743YESNONO
02478188ATORVASTATIN CALCIUMAG-Atorvastatin 80mg TabANG0.23420.2342YESNONO
02478161ATORVASTATIN CALCIUMAG-Atorvastatin 40mg TabANG0.23420.2342YESNONO
02478153ATORVASTATIN CALCIUMAG-Atorvastatin 20mg TabANG0.21790.2179YESNONO
02480700AZITHROMYCINAG-Azithromycin 250mg TabANG0.94100.9410YESNOYES
02437570CELECOXIBAG-Celecoxib 100mg CapANG0.12790.1279YESYESYES
02437589CELECOXIBAG-Celecoxib 200mg CapANG0.25580.2558YESYESYES
02485419CYCLOBENZAPRINE HCLAG-Cyclobenzaprine (Not a Benefit) 10mg TabANGN/AN/AYESNOYES
02432684DONEPEZIL HCLAG-Donepezil 5mg TabANG0.45860.4586YESYESNO
02432692DONEPEZIL HCLAG-Donepezil 10mg TabANG0.45860.4586YESYESNO
02475308DULOXETINEAG-Duloxetine 30mg DR CapANG0.48140.4814YESNONO
02475316DULOXETINEAG-Duloxetine 60mg DR CapANG0.97690.9769YESNONO
02496356EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATEAG-Emtricitabine & Tenofovir Disoproxil 200mg & 300mg TabANG7.30357.3035YESNOYES
02475898EZETIMIBEAG-Ezetimibe 10mg TabANG0.18110.1811YESYESNO
02509989FAMOTIDINEAG-Famotidine 40mg TabANG0.48340.4834YESNOYES
02509970FAMOTIDINEAG-Famotidine 20mg TabANG0.26580.2658YESNOYES
02485052FLUOXETINE HCLAG-Fluoxetine (Off-Formulary Interchangeable) 10mg CapANG1.1773N/AYESNOYES
02485060FLUOXETINE HCLAG-Fluoxetine 20mg CapANG0.33110.3311YESNOYES
02477912GABAPENTINAG-Gabapentin 100mg CapANG0.04160.0416YESNONO
02477920GABAPENTINAG-Gabapentin 300mg CapANG0.10120.1012YESNONO
02477939GABAPENTINAG-Gabapentin 400mg CapANG0.12060.1206YESNONO
02481316METOPROLOL TARTRATEAG-Metoprolol-L 50mg TabANG0.06240.0624YESNONO
02481324METOPROLOL TARTRATEAG-Metoprolol-L 100mg TabANG0.13610.1361YESNONO
02484757MOXIFLOXACIN HYDROCHLORIDEAG-Moxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)ANG11.2700N/AYESNONO
02478137MOXIFLOXACIN HYDROCHLORIDEAG-Moxifloxacin 400mg TabANG1.52301.5230YESNONO
02487608OLANZAPINEAG-Olanzapine FC 2.5mg TabANG0.17720.1772YESNONO
02487616OLANZAPINEAG-Olanzapine FC 5mg TabANG0.35440.3544YESNONO
02487632OLANZAPINEAG-Olanzapine FC 10mg TabANG0.70880.7088YESNONO
02481588PANTOPRAZOLE SODIUMAG-Pantoprazole Sodium 40mg Ent TabANG0.20160.2016YESYESNO
02475545PAROXETINE HCLAG-Paroxetine 20mg TabANG0.32500.3250YESNONO
02475553PAROXETINE HCLAG-Paroxetine 30mg TabANG0.34530.3453YESNONO
02475537PAROXETINE HCLAG-Paroxetine (Off-Formulary Interchangeable) 10mg TabANG1.0430N/AYESNONO
02481693PERINDOPRIL ERBUMINEAG-Perindopril 8mg TabANG0.28310.2831YESNONO
02481677PERINDOPRIL ERBUMINEAG-Perindopril 2mg TabANG0.16320.1632YESNONO
02481685PERINDOPRIL ERBUMINEAG-Perindopril 4mg TabANG0.20420.2042YESNONO
02476142PRAVASTATIN SODIUMAG-Pravastatin 10mg TabANG0.29160.2916YESNONO
02476150PRAVASTATIN SODIUMAG-Pravastatin 20mg TabANG0.34400.3440YESNONO
02476169PRAVASTATIN SODIUMAG-Pravastatin 40mg TabANG0.41430.4143YESNONO
02480751PREGABALINAG-Pregabalin 150mg CapANG0.41450.4145YESNONO
02480778PREGABALINAG-Pregabalin 300mg CapANG0.41450.4145YESNONO
02480743PREGABALINAG-Pregabalin 75mg CapANG0.30070.3007YESNONO
02480735PREGABALINAG-Pregabalin 50mg CapANG0.23240.2324YESNONO
02480727PREGABALINAG-Pregabalin 25mg CapANG0.14810.1481YESNONO
02475979QUETIAPINEAG-Quetiapine 25mg TabANG0.04940.0494YESNONO
02477572RAMIPRILAG-Ramipril Cap 2.5mgANG0.08170.0817YESNONO
02477580RAMIPRILAG-Ramipril Cap 5mgANG0.08170.0817YESNONO
02477599RAMIPRILAG-Ramipril Cap 10mgANG0.10340.1034YESNONO
02492490RIZATRIPTANAG-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating TabANG11.115011.1150YESNONO
02477890SERTRALINE HCLAG-Sertraline 50mg CapANG0.30320.3032YESNOYES
02477904SERTRALINE HCLAG-Sertraline 100mg CapANG0.33030.3303YESNOYES
02477882SERTRALINE HCLAG-Sertraline 25mg CapANG0.15160.1516YESNOYES
02480085SIMVASTATINAG-Simvastatin 40mg TabANG0.25010.2501YESNONO
02480077SIMVASTATINAG-Simvastatin 20mg TabANG0.25010.2501YESNONO
02480069SIMVASTATINAG-Simvastatin 10mg TabANG0.20230.2023YESNONO
02480093SIMVASTATINAG-Simvastatin 80mg TabANG0.25010.2501YESNONO
02480050SIMVASTATINAG-Simvastatin 5mg TabANG0.10230.1023YESNONO
02481421TADALAFILAG-Tadalafil (Off-Formulary Interchangeable) 20mg TabANG12.3569N/AYESNONO
02475944TOPIRAMATEAG-Topiramate 100mg TabANG0.45830.4583YESNONO
02475936TOPIRAMATEAG-Topiramate 25mg TabANG0.24330.2433YESNONO
02505371URSODIOLAG-Ursodiol 500mg TabANG0.72420.7242YESYESNO
02505363URSODIOLAG-Ursodiol 250mg TabANG0.38180.3818YESYESNO
02475839ZOPICLONEAG-Zopiclone (Off-Formulary Interchangeable) 5mg TabANG0.22310.2231YESNONO
02475847ZOPICLONEAG-Zopiclone (Off-Formulary Interchangeable) 7.5mg TabANG0.46850.4685YESNONO