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Products found: 23

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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
02190885	ACARBOSE	Glucobay (Not a Benefit) 50mg Tab	BAY	N/A	N/A	YES	NO	NO
02190893	ACARBOSE	Glucobay (Not a Benefit) 100mg Tab	BAY	N/A	N/A	YES	NO	NO
02237514	CIPROFLOXACIN	Cipro 10g/100mL Oral Susp	BAY	0.5756	0.5756	NO	YES	YES
02155974	CIPROFLOXACIN	Cipro (Not a Benefit) 750mg Tab	BAY	N/A	N/A	YES	NO	YES
02155966	CIPROFLOXACIN	Cipro (Not a Benefit) 500mg Tab	BAY	N/A	N/A	YES	NO	YES
02155958	CIPROFLOXACIN	Cipro (Not a Benefit) 250mg Tab	BAY	N/A	N/A	YES	NO	YES
02247916	CIPROFLOXACIN HCL & CIPROFLOXACIN BASE	Cipro XL (Not a Benefit) 500mg ER Tab	BAY	N/A	N/A	YES	NO	NO
02150867	CLOTRIMAZOLE	Canesten 1% Topical Cream (Not a Benefit) 10mg/g Cr	BAY	N/A	N/A	YES	NO	YES
02264102	CLOTRIMAZOLE	Canesten 1 Comfortab Combi-Pak 500mg & 1% Tab & Cr	BAY	12.0800	12.0800	NO	NO	YES
02150905	CLOTRIMAZOLE	Canesten 3 Cream 20mg/g Vag Cr-App	BAY	0.4424	0.3624	YES	NO	YES
02150891	CLOTRIMAZOLE	Canesten 6 Cream 10mg/g Vag Cr-App	BAY	0.2212	0.1812	YES	NO	YES
00704431	CYPROTERONE ACETATE	Androcur 50mg Tab	BAY	1.4085	1.4000	YES	NO	NO
02233542	CYPROTERONE ACETATE & ETHINYL ESTRADIOL	Diane-35 (Off-Formulary Interchangeable) 2mg & 0.035mg Tab-21 Pk	BAY	N/A	N/A	YES	NO	NO
00707600	ETHINYL ESTRADIOL & LEVONORGESTREL	Triquilar 21 3 Phase Tab-21 Pk	BAY	15.7500	15.7500	NO	NO	NO
00707503	ETHINYL ESTRADIOL & LEVONORGESTREL	Triquilar 28 3 Phase Tab-28 Pk	BAY	15.7500	15.7500	NO	NO	NO
02459523	LEVONORGESTREL	Kyleena 19.5mg Insert	BAY	348.6100	348.6100	NO	NO	NO
02243005	LEVONORGESTREL	Mirena 52mg Insert	BAY	372.5500	372.5500	NO	NO	NO
02242965	MOXIFLOXACIN HYDROCHLORIDE	Avelox (Not a Benefit) 400mg Tab	BAY	N/A	N/A	YES	NO	NO
02155907	NIFEDIPINE	Adalat XL 30mg ER Tab	BAY	0.6171	0.6171	YES	NO	NO
02155990	NIFEDIPINE	Adalat XL (Not a Benefit) 60mg ER Tab	BAY	N/A	N/A	YES	NO	NO
02250489	VARDENAFIL HCL	Levitra (Off-Formulary Interchangeable) 20mg Tab	BAY	N/A	N/A	YES	NO	NO
02250462	VARDENAFIL HCL	Levitra (Off-Formulary Interchangeable) 5mg Tab	BAY	N/A	N/A	YES	NO	NO
02250470	VARDENAFIL HCL	Levitra (Off-Formulary Interchangeable) 10mg Tab	BAY	N/A	N/A	YES	NO	NO

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