Search Results

You can sort your results in ascending / descending order by clicking on the column headings, with the exception of Therapeutic Notes.
Products found: 10New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02241148BISOPROLOL FUMARATEMonocor (Not a Benefit) 5mg TabBION/AN/AYESNONO
02237824BUPROPION HCLWellbutrin SR (Not a Benefit) 100mg TabBION/AN/AYESNONO
02256762DILTIAZEM HCLTiazac XC 300mg ER TabBIO1.57601.5760NONONO
02256738DILTIAZEM HCLTiazac XC 120mg ER TabBIO0.89560.8956NONONO
02256746DILTIAZEM HCLTiazac XC 180mg ER TabBIO1.19031.1903NONONO
02256770DILTIAZEM HCLTiazac XC 360mg ER TabBIO1.58071.5807NONONO
02256754DILTIAZEM HCLTiazac XC 240mg ER TabBIO1.58081.5808NONONO
02097389DILTIAZEM HCLCardizem (Not a Benefit) 60mg TabBION/AN/AYESNONO
02097370DILTIAZEM HCLCardizem (Not a Benefit) 30mg TabBION/AN/AYESNONO
02268493METFORMIN HCLGlumetza (Off-Formulary Interchangeable) 500mg ER TabBION/AN/AYESNONO