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Products found: 25

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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
02505355	AFLIBERCEPT	Eylea 40mg/mL Inj Sol-0.05mL Pref Syr (Preservative-Free)	BAH	1418.0000	1418.0000	NO	YES	NO
02545004	AFLIBERCEPT	Eylea HD 8mg/0.07mL Inj Sol-0.07mL Vial Pk	BAH	1250.0000	1250.0000	NO	YES	NO
02415992	AFLIBERCEPT	Eylea 40mg/mL Sol for Intravitreal Inj-0.05mL Vial Pk	BAH	1418.0000	1418.0000	NO	YES	NO
02374900	DIENOGEST	Visanne 2mg Tab	BAH	2.1876	0.5115	YES	YES	NO
02261723	DROSPIRENONE & ETHINYL ESTRADIOL	Yasmin 21 3.0mg & 0.03mg Tab-21 Pk	BAH	12.4400	6.2181	YES	NO	NO
02261731	DROSPIRENONE & ETHINYL ESTRADIOL	Yasmin 28 3.0mg & 0.03mg Tab-28 Pk	BAH	12.4400	6.2188	YES	NO	NO
02321157	DROSPIRENONE & ETHINYL ESTRADIOL	Yaz 3.0mg & 0.02mg Tab-28 Pk	BAH	16.5200	8.2600	YES	NO	NO
02531917	FINERENONE	Kerendia 10mg Tab	BAH	3.2565	3.2565	NO	YES	NO
02531925	FINERENONE	Kerendia 20mg Tab	BAH	3.2565	3.2565	NO	YES	NO
02155869	NIFEDIPINE	Adalat (Not a Benefit) 5mg Cap	BAH	N/A	N/A	YES	NO	NO
02155877	NIFEDIPINE	Adalat (Not a Benefit) 10mg Cap	BAH	N/A	N/A	YES	NO	YES
02325926	NIMODIPINE	Nimotop 30mg Tab	BAH	10.3006	10.3006	NO	YES	NO
02412802	RIOCIGUAT	Adempas (Off-Formulary Interchangeable) 2mg Tab	BAH	43.7200	24.0460	YES	NO	NO
02412772	RIOCIGUAT	Adempas (Off-Formulary Interchangeable) 1mg Tab	BAH	43.7200	24.0460	YES	NO	NO
02412799	RIOCIGUAT	Adempas (Off-Formulary Interchangeable) 1.5mg Tab	BAH	43.7200	24.0460	YES	NO	NO
02412764	RIOCIGUAT	Adempas (Off-Formulary Interchangeable) 0.5mg Tab	BAH	43.7200	24.0460	YES	NO	NO
02412810	RIOCIGUAT	Adempas (Off-Formulary Interchangeable) 2.5mg Tab	BAH	43.7200	24.0460	YES	NO	NO
02378612	RIVAROXABAN	Xarelto 20mg Tab	BAH	2.8700	0.7175	YES	NO	NO
02480808	RIVAROXABAN	Xarelto 2.5mg Tab	BAH	1.4200	0.3550	YES	NO	NO
02316986	RIVAROXABAN	Xarelto 10mg Tab	BAH	2.8700	0.7175	YES	NO	NO
02378604	RIVAROXABAN	Xarelto 15mg Tab	BAH	2.8700	0.7175	YES	NO	NO
02372436	VARDENAFIL HCL	Staxyn (Off-Formulary Interchangeable) 10mg Orally Disintergrating Tab	BAH	N/A	N/A	YES	NO	NO
02537052	VERICIGUAT	Verquvo 5mg Tab	BAH	4.8300	4.8300	NO	YES	NO
02537044	VERICIGUAT	Verquvo 2.5mg Tab	BAH	4.8300	4.8300	NO	YES	NO
02537060	VERICIGUAT	Verquvo 10mg Tab	BAH	4.8300	4.8300	NO	YES	NO

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