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Products found: 7

DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Interchangeable	Limited Use	Therapeutic Notes
02474026	5-AMINOSALICYLIC ACID	Mezera 1g/Actuation 14 Actuation-Foam Enema Canister Pk	AVP	103.8600	103.8600	NO	NO	NO
02545012	5-AMINOSALICYLIC ACID	Mezera 1g DR Tab	AVP	1.3011	1.3011	NO	NO	NO
02524481	5-AMINOSALICYLIC ACID	Mezera 500mg DR Tab	AVP	0.6760	0.6760	NO	NO	NO
02474018	5-AMINOSALICYLIC ACID	Mezera 1g Sup	AVP	1.9076	1.9076	NO	NO	NO
02485516	BACLOFEN	Baclofen Intrathecal (Off-Formulary Interchangeable) 2mg/mL Inj Sol (Preservative-Free)	AVP	35.4500	35.4500	YES	NO	YES
02485508	BACLOFEN	Baclofen Intrathecal (Off-Formulary Interchangeable) 0.5mg/mL Inj Sol-20mL Pk (Preservative-Free)	AVP	177.2500	177.2500	YES	NO	YES
02495589	TERIPARATIDE	Osnuvo 250mcg/mL Inj Sol-3mL Cart Pk	AVP	565.2600	565.2600	NO	YES	NO