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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
02241148BISOPROLOL FUMARATEMonocor (Not a Benefit) 5mg TabBION/AN/AYESNONO
02237824BUPROPION HCLWellbutrin SR (Not a Benefit) 100mg TabBION/AN/AYESNONO
02256746DILTIAZEM HCLTiazac XC 180mg ER TabBIO1.38990.9195YESNONO
02256738DILTIAZEM HCLTiazac XC 120mg ER TabBIO1.04561.0456NONONO
02256754DILTIAZEM HCLTiazac XC 240mg ER TabBIO1.84571.2212YESNONO
02256770DILTIAZEM HCLTiazac XC 360mg ER TabBIO1.84561.2211YESNONO
02256762DILTIAZEM HCLTiazac XC 300mg ER TabBIO1.84021.2175YESNONO
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