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: 3

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
00107875	MINERAL OIL	Fleet Enema Mineral Oil 100% Enema	CBF	0.0452	0.0452	NO	NO	NO
00108065	SODIUM BIPHOSPHATE & SODIUM PHOSPHATE	Fleet Enema Pediatric 160mg & 60mg/mL Ped Rect Sol	CBF	0.0630	0.0630	NO	NO	NO
00009911	SODIUM BIPHOSPHATE & SODIUM PHOSPHATE	Fleet Enema 160mg & 60mg/mL Rect Sol (with Preservative)	CBF	0.0313	0.0313	NO	NO	NO