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Products found: 83New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOHLTC PaysInter- change- ableLimited UseThera- peutic Notes
02439530ACLIDINIUM BROMIDE & FORMOTEROL FUMARATE DIHYDRATEDuaklir Genuair 400mcg & 12mcg Metered Dose Pd Inh-60 Dose PkAZC60.000060.0000NOYESNO
02224135ANASTROZOLEArimidex 1mg TabAZC5.29000.9522YESYESNO
02039540ATENOLOLTenormin 100mg TabAZC1.01170.1821YESNONO
02039532ATENOLOLTenormin 50mg TabAZC0.61500.1107YESNONO
02049988ATENOLOL & CHLORTHALIDONETenoretic 100/25 100 & 25mg TabAZC1.16730.5236YESNONO
02049961ATENOLOL & CHLORTHALIDONETenoretic 50/25 50 & 25mg TabAZC0.71220.3195YESNONO
02184478BICALUTAMIDECasodex 50mg TabAZC7.05001.2690YESNONO
01978926BUDESONIDEPulmicort Nebuamp 0.5mg/mL Inh SuspAZC0.92350.6839YESYESNO
01978918BUDESONIDEPulmicort Nebuamp 0.25mg/mL Inh SuspAZC0.46300.4630NOYESNO
02229099BUDESONIDEPulmicort Nebuamp 0.125mg/mL Inh SuspAZC0.23100.1714YESYESNO
02035324BUDESONIDERhinocort Turbuhaler 100mcg/Metered Dose Nas Aero 200 DoseAZC25.040025.0400NONOYES
00851752BUDESONIDEPulmicort Turbuhaler 200mcg/Metered Dose Pd Inh-200 Dose PkAZC66.380066.3800NONONO
00851760BUDESONIDEPulmicort Turbuhaler 400mcg/Metered Dose Pd Inh-200 Dose PkAZC96.900096.9000NONONO
00852074BUDESONIDEPulmicort Turbuhaler 100mcg/Metered Dose Pd Inh-200 Dose PkAZC32.460032.4600NONONO
02245385BUDESONIDE & FORMOTEROL FUMARATE DIHYDRATESymbicort 100 Turbuhaler 100mcg/6mcg Pd Inh-120 Dose PkAZC69.540069.5400NOYESNO
02245386BUDESONIDE & FORMOTEROL FUMARATE DIHYDRATESymbicort 200 Turbuhaler 200mcg/6mcg Pd Inh-120 Dose PkAZC90.360090.3600NOYESNO
02239090CANDESARTAN CILEXETILAtacand 4mg TabAZC0.81600.1700YESNONO
02239091CANDESARTAN CILEXETILAtacand 8mg TabAZC1.35700.2281YESNONO
02239092CANDESARTAN CILEXETILAtacand 16mg TabAZC1.35700.2281YESNONO
02311658CANDESARTAN CILEXETILAtacand 32mg TabAZC1.35700.2281YESNONO
02244021CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDEAtacand Plus 16mg & 12.5mg TabAZC1.35700.2156YESNONO
02332922CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDEAtacand Plus 32mg & 12.5mg TabAZC1.35700.2156YESNONO
02332957CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDEAtacand Plus 32mg & 25mg TabAZC1.35700.3008YESNONO
02285614CICLESONIDEAlvesco 200mcg/Actuation Inh-120 Dose PkAZC77.640077.6400NONONO
02285606CICLESONIDEAlvesco 100mcg/Actuation Inh-120 Dose PkAZC46.920046.9200NONONO
02303671CICLESONIDEOmnaris 50mcg/Actuation Metered Dose Nas Sp-120 Dose PkAZC26.520026.5200NONONO
02435462DAPAGLIFLOZINForxiga 5mg TabAZC2.73002.7300NONOYES
02435470DAPAGLIFLOZINForxiga 10mg TabAZC2.73002.7300NONOYES
02449935DAPAGLIFLOZIN & METFORMINXigduo 5mg & 850mg TabAZC1.22501.2250NONOYES
02449943DAPAGLIFLOZIN & METFORMINXigduo 5mg & 1000mg TabAZC1.22501.2250NONOYES
01958100DOXAZOSIN MESYLATECardura-1 (Not a Benefit) 1mg TabAZCN/AN/AYESNONO
01958097DOXAZOSIN MESYLATECardura-2 (Not a Benefit) 2mg TabAZCN/AN/AYESNONO
01958119DOXAZOSIN MESYLATECardura-4 (Not a Benefit) 4mg TabAZCN/AN/AYESNONO
02244522ESOMEPRAZOLENexium DR Tab (Off-Formulary Interchangeable) 40mgAZCN/AN/AYESNONO
02244521ESOMEPRAZOLENexium (Off-Formulary Interchangeable) 20mg DR TabAZCN/AN/AYESNONO
00851787FELODIPINEPlendil 10mg ER TabAZC1.09500.5350YESNOYES
00851779FELODIPINEPlendil 5mg ER TabAZC0.73000.3565YESNOYES
02057778FELODIPINEPlendil 2.5mg ER TabAZC0.55200.4050YESNOYES
02237224FORMOTEROL FUMARATE DIHYDRATEOxeze Turbuhaler 12mcg/Metered Dose Pd Inh-60 Dose PkAZC44.800044.8000NOYESNO
02237225FORMOTEROL FUMARATE DIHYDRATEOxeze Turbuhaler 6mcg/Metered Dose Pd Inh-60 Dose PkAZC33.650033.6500NOYESNO
02248624FULVESTRANTFaslodex (Off-Formulary Interchangeable) 50mg/mL Inj Sol-5mL Pref Syr PkAZCN/AN/AYESNONO
02248676GEFITINIBIressa (Off-Formulary Interchangeable) 250mg TabAZC73.300062.3050YESNONO
02126559ISOSORBIDE-5-MONONITRATEImdur (Off-Formulary Interchangeable) 60mg ER TabAZCN/AN/AYESNONO
00001686LIDOCAINE HCLXylocaine Viscous 2% O/LAZC0.10250.1025NONONO
02049384LISINOPRILZestril 20mg TabAZC0.83300.1945YESNONO
02049376LISINOPRILZestril 10mg TabAZC0.69350.1619YESNONO
02049333LISINOPRILZestril 5mg TabAZC0.57700.1347YESNONO
02103729LISINOPRIL & HYDROCHLOROTHIAZIDEZestoretic 10mg & 12.5mg TabAZC0.92860.2084YESNONO
02045737LISINOPRIL & HYDROCHLOROTHIAZIDEZestoretic 20mg & 12.5mg TabAZC1.11590.2504YESNONO
02045729LISINOPRIL & HYDROCHLOROTHIAZIDEZestoretic (Off-Formulary Interchangeable) 20mg & 25mg TabAZCN/AN/AYESNONO
00402540METOPROLOL TARTRATEBetaloc (Not a Benefit) 100mg TabAZCN/AN/AYESNONO
00402605METOPROLOL TARTRATEBetaloc (Not a Benefit) 50mg TabAZCN/AN/AYESNONO
02361701NAPROXEN & ESOMEPRAZOLE MAGNESIUMVimovo (Off-Formulary Interchangeable) 375mg & 20mg MR TabAZCN/AN/AYESNOYES
02361728NAPROXEN & ESOMEPRAZOLE MAGNESIUMVimovo (Off-Formulary Interchangeable) 500mg & 20mg MR TabAZCN/AN/AYESNOYES
02230737OMEPRAZOLELosec DR Tab (Off-Formulary Interchangeable) 10mgAZCN/AN/AYESNONO
02190915OMEPRAZOLELosec DR Tab 20mgAZC2.38200.2287YESYESNO
02119579OMEPRAZOLELosec (Off-Formulary Interchangeable) 10mg DR CapAZCN/AN/AYESNONO
09857195OMEPRAZOLE MAGNESIUMLosec DR Tab 20mgAZC2.38200.2287YESYESNO
02321513QUETIAPINESeroquel XR 150mg ER TabAZC1.97020.4926YESNONO
02300184QUETIAPINESeroquel XR 50mg ER TabAZC1.00030.2501YESNONO
02300192QUETIAPINESeroquel XR 200mg ER TabAZC2.66420.6661YESNONO
02300206QUETIAPINESeroquel XR 300mg ER TabAZC3.91020.9776YESNONO
02300214QUETIAPINESeroquel XR 400mg ER TabAZC5.30801.3270YESNONO
02236951QUETIAPINESeroquel 25mg TabAZC0.51950.0494YESNONO
02236952QUETIAPINESeroquel 100mg TabAZC1.38600.1318YESNONO
02240862QUETIAPINESeroquel (Off-Formulary Interchangeable) 150mg TabAZCN/AN/AYESNONO
02236953QUETIAPINESeroquel 200mg TabAZC2.78300.2647YESNONO
02244107QUETIAPINESeroquel 300mg TabAZC4.06100.3863YESNONO
02247164ROSUVASTATIN CALCIUMCrestor 40mg TabAZC2.05000.1990YESNONO
02247163ROSUVASTATIN CALCIUMCrestor 20mg TabAZC1.74670.1692YESNONO
02247162ROSUVASTATIN CALCIUMCrestor 10mg TabAZC1.40300.1354YESNONO
02265540ROSUVASTATIN CALCIUMCrestor 5mg TabAZC1.32170.1284YESNONO
02375842SAXAGLIPTINOnglyza 2.5mg TabAZC2.53002.5300NONOYES
02333554SAXAGLIPTINOnglyza 5mg TabAZC3.03903.0390NONOYES
02389177SAXAGLIPTIN & METFORMINKomboglyze 2.5mg & 850mg TabAZC1.27001.2700NONOYES
02389169SAXAGLIPTIN & METFORMINKomboglyze 2.5mg & 500mg TabAZC1.27001.2700NONOYES
02389185SAXAGLIPTIN & METFORMINKomboglyze 2.5mg & 1000mg TabAZC1.27001.2700NONOYES
02048477TAMOXIFEN CITRATENolvadex (Not a Benefit) 10mg TabAZCN/AN/AYESNONO
02048485TAMOXIFEN CITRATENolvadex D 20mg TabAZC0.38670.3500YESNONO
00786616TERBUTALINE SULFATEBricanyl Turbuhaler 0.5mg/Dose Inh-100 Dose PkAZC8.21008.2100NONONO
02368544TICAGRELORBrilinta 90mg TabAZC1.58401.5840NOYESNO
02243045ZOLMITRIPTANZomig Rapimelt (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating TabAZCN/AN/AYESNONO
02238660ZOLMITRIPTANZomig (Off-Formulary Interchangeable) 2.5mg TabAZCN/AN/AYESNONO