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Products found: 7New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
00666130ACETAMINOPHEN & CODEINE PHOSPHATEEmpracet-30 (Not a Benefit) 300mg & 30mg TabBWEN/AN/AYESNOYES
00294322ALLOPURINOLZyloprim (Not a Benefit) 300mg TabBWEN/AN/AYESNOYES
00270644SULFAMETHOXAZOLE & TRIMETHOPRIMSeptra (Not a Benefit) 40mg & 8mg/mL O/LBWEN/AN/AYESNOYES
00270636SULFAMETHOXAZOLE & TRIMETHOPRIMSeptra (Not a Benefit) 400mg & 80mg TabBWEN/AN/AYESNOYES
00368040SULFAMETHOXAZOLE & TRIMETHOPRIMSeptra DS (Not a Benefit) 800mg & 160mg TabBWEN/AN/AYESNOYES
00677590TRIMETHOPRIMProloprim (Not a Benefit) 200mg TabBWEN/AN/AYESNONO
00675229TRIMETHOPRIMProloprim (Not a Benefit) 100mg TabBWEN/AN/AYESNONO