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Products found: 10

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
02112787	5-AMINOSALICYLIC ACID	Salofalk 500mg Ent Tab	BFI	0.7685	0.7685	NO	NO	NO
02112809	5-AMINOSALICYLIC ACID	Salofalk 4g Rect Susp-Pk	BFI	10.0389	10.0389	NO	NO	NO
02112760	5-AMINOSALICYLIC ACID	Salofalk 500mg Sup	BFI	1.8896	1.8896	NO	NO	NO
02242146	5-AMINOSALICYLIC ACID	Salofalk 1000mg Sup	BFI	2.7754	2.7754	NO	NO	NO
02103567	SUCRALFATE	Sulcrate Suspension Plus 1g/5mL Oral Susp	BFI	0.1366	0.1366	NO	NO	NO
02100622	SUCRALFATE	Sulcrate 1g Tab	BFI	0.7704	0.3089	YES	NO	NO
00803499	TRIMEBUTINE MALEATE	Modulon (Off-Formulary Interchangeable) 200mg Tab	BFI	N/A	N/A	YES	NO	NO
00587869	TRIMEBUTINE MALEATE	Modulon (Off-Formulary Interchangeable) 100mg Tab	BFI	N/A	N/A	YES	NO	NO
02238984	URSODIOL	Urso (Not a Benefit) 250mg Tab	BFI	N/A	N/A	YES	NO	NO
02245894	URSODIOL	Urso DS 500mg Tab	BFI	3.1751	0.7242	YES	YES	NO