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Products found: 10New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
021127875-AMINOSALICYLIC ACIDSalofalk 500mg Ent TabBFI0.70500.7050NONONO
021128095-AMINOSALICYLIC ACIDSalofalk 4g Rect Susp-PkBFI9.21009.2100NONONO
021127605-AMINOSALICYLIC ACIDSalofalk 500mg SupBFI1.73371.7337NONONO
022421465-AMINOSALICYLIC ACIDSalofalk 1000mg SupBFI2.54632.5463NONONO
02103567SUCRALFATESulcrate Suspension Plus 1g/5mL Oral SuspBFI0.13130.1313NONONO
02100622SUCRALFATESulcrate 1g TabBFI0.74080.3089YESNONO
00803499TRIMEBUTINE MALEATEModulon (Off-Formulary Interchangeable) 200mg TabBFIN/AN/AYESNONO
00587869TRIMEBUTINE MALEATEModulon (Off-Formulary Interchangeable) 100mg TabBFIN/AN/AYESNONO
02238984URSODIOLUrso (Not a Benefit) 250mg TabBFIN/AN/AYESNONO
02245894URSODIOLUrso DS 500mg TabBFI3.17510.7242YESYESNO