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Products found: 13
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DIN/ PIN/ NPN
Generic Name
Brand Name, Strength & Dosage Form
MFR
Drug Benefit Price or Unit Price
Amount MOH Pays
Inter- change- able
Limited Use
Thera- peutic Notes
02426390
CELECOXIB
Bio-Celecoxib 200mg Cap
BMP
0.2558
0.2558
YES
YES
YES
02426382
CELECOXIB
Bio-Celecoxib 100mg Cap
BMP
0.1279
0.1279
YES
YES
YES
02412853
DONEPEZIL HCL
Bio-Donepezil 5mg Tab
BMP
0.4586
0.4586
YES
YES
NO
02412861
DONEPEZIL HCL
Bio-Donepezil 10mg Tab
BMP
0.4586
0.4586
YES
YES
NO
02448424
FLUOXETINE HCL
Bio-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap
BMP
1.1773
N/A
YES
NO
YES
02448432
FLUOXETINE HCL
Bio-Fluoxetine 20mg Cap
BMP
0.3311
0.3311
YES
NO
YES
02445964
LOSARTAN POTASSIUM
Bio-Losartan 25mg Tab
BMP
0.3147
0.3147
YES
NO
NO
02445980
LOSARTAN POTASSIUM
Bio-Losartan 100mg Tab
BMP
0.3147
0.3147
YES
NO
NO
02445972
LOSARTAN POTASSIUM
Bio-Losartan 50mg Tab
BMP
0.3147
0.3147
YES
NO
NO
02447223
QUETIAPINE
Bio-Quetiapine 200mg Tab
BMP
0.2647
0.2647
YES
NO
NO
02447193
QUETIAPINE
Bio-Quetiapine 25mg Tab
BMP
0.0494
0.0494
YES
NO
NO
02447207
QUETIAPINE
Bio-Quetiapine 100mg Tab
BMP
0.1318
0.1318
YES
NO
NO
02447258
QUETIAPINE
Bio-Quetiapine 300mg Tab
BMP
0.3863
0.3863
YES
NO
NO
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