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Products found: 38New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02502380ADALIMUMABHulio 20mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)BGP235.6350235.6350NOYESNO
02502402ADALIMUMABHulio 40mg/0.8mL Inj Sol-0.8mL Pref Pen (Preservative-Free)BGP471.2700471.2700NOYESNO
02502399ADALIMUMABHulio 40mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)BGP471.2700471.2700NOYESNO
02432889AZELASTINE HCL & FLUTICASONE PROPIONATEDymista (Off-Formulary Interchangeable) 137mcg/Actuation&50mcg/Actuation Nas-Sp-120 Dose PkBGPN/AN/AYESNOYES
02243878BETAHISTINE DIHYDROCHLORIDESerc (Off-Formulary Interchangeable) 16mg TabBGPN/AN/AYESNONO
02247998BETAHISTINE DIHYDROCHLORIDESerc (Off-Formulary Interchangeable) 24mg TabBGPN/AN/AYESNONO
02244756CLARITHROMYCINBiaxin XL 500mg ER TabBGP2.56721.2572YESNOYES
02146908CLARITHROMYCINBiaxin 125mg/5mL Ped GranBGP0.32950.2388YESNOYES
02244641CLARITHROMYCINBiaxin 250mg/5mL SuspBGP0.64660.4685YESNOYES
01984853CLARITHROMYCINBiaxin BID 250mg TabBGP1.85120.4122YESNOYES
02126710CLARITHROMYCINBiaxin BID (Off-Formulary Interchangeable) 500mg TabBGPN/AN/AYESNOYES
00596418DIVALPROEX SODIUMEpival 125mg Ent TabBGP0.36050.1539YESNONO
00596426DIVALPROEX SODIUMEpival 250mg Ent TabBGP0.64820.2767YESNONO
00596434DIVALPROEX SODIUMEpival 500mg Ent TabBGP1.29700.5537YESNONO
02241602FENOFIBRATELipidil Supra 160mg TabBGP1.39681.0022YESNONO
01919369FLUVOXAMINE MALEATELuvox 100mg TabBGP1.94560.3783YESNOYES
01919342FLUVOXAMINE MALEATELuvox 50mg TabBGP1.08190.2105YESNOYES
02520974INSULIN ASPARTKirsty 100U/mL Inj Sol-5X3mL Pref Pen PkBGP42.712542.7125NONONO
02526441INSULIN GLARGINESemglee 100U/mL Inj Sol-3mL Pref PenBGP12.766812.7668NONONO
02494639LIPASE & AMYLASE & PROTEASECreon Minimicrospheres 35 35000 & 35700 & 2240 UnitsBGP0.95310.9531NOYESNO
02242163MORPHINE SULFATEKadian 10mg SR CapBGP0.44710.4471NONOYES
02184443MORPHINE SULFATEKadian 50mg SR CapBGP1.64311.6431NONOYES
02184435MORPHINE SULFATEKadian 20mg SR CapBGP0.86860.8686NONOYES
02184451MORPHINE SULFATEKadian 100mg SR CapBGP2.86602.8660NONOYES
02445158PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASECreon Minimicrospheres Micro 5000 & 5100 & 320 Units/100mg Gran - 100mg/ScoopBGP0.18710.1871NOYESNO
02484153PEGFILGRASTIMFulphila 10mg/mL Inj Sol-Pref SyrBGP1375.00001375.0000NONONO
01950592PINAVERIUM BROMIDEDicetel (Off-Formulary Interchangeable) 50mg TabBGPN/AN/AYESNONO
02230684PINAVERIUM BROMIDEDicetel (Off-Formulary Interchangeable) 100mg TabBGPN/AN/AYESNONO
02365154TOBRAMYCINTOBI Podhaler 28mg Inh Pd-CapBGP14.691114.6911NOYESNO
02239630TOBRAMYCINTOBI 300mg/5mL Inh Sol-5mL PkBGP60.821041.0985YESNOYES
02231460TRANDOLAPRILMavik 2mg CapBGP0.82640.2025YESNONO
02231457TRANDOLAPRILMavik (Off-Formulary Interchangeable) 0.5mg CapBGPN/AN/AYESNONO
02239267TRANDOLAPRILMavik 4mg CapBGP1.01960.2498YESNONO
02231459TRANDOLAPRILMavik 1mg CapBGP0.71910.1762YESNONO
00443832VALPROATE SODIUMDepakene 50mg/mL O/LBGP0.14180.0398YESNONO
01934317VERAPAMIL HCLIsoptin SR 180mg LA TabBGP1.97190.5204YESNONO
01907123VERAPAMIL HCLIsoptin SR (Off-Formulary Interchangeable) 120mg LA TabBGPN/AN/AYESNONO
00742554VERAPAMIL HCLIsoptin SR 240mg LA TabBGP2.62971.7143YESNONO