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Products found: 10

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
02317710	LENALIDOMIDE	Revlimid 25mg Cap	CEL	424.0000	106.0000	YES	YES	NO
02304899	LENALIDOMIDE	Revlimid 5mg Cap	CEL	340.0000	85.0000	YES	YES	NO
02304902	LENALIDOMIDE	Revlimid 10mg Cap	CEL	361.0000	90.2500	YES	YES	NO
02459418	LENALIDOMIDE	Revlimid 2.5mg Cap	CEL	329.5000	82.3750	YES	YES	NO
02317699	LENALIDOMIDE	Revlimid 15mg Cap	CEL	382.0000	95.5000	YES	YES	NO
02440601	LENALIDOMIDE	Revlimid 20mg Cap	CEL	403.0000	100.7500	YES	YES	NO
02419580	POMALIDOMIDE	Pomalyst (Off-Formulary Interchangeable) 1mg Cap	CEL	500.0000	425.0000	YES	NO	NO
02419599	POMALIDOMIDE	Pomalyst (Off-Formulary Interchangeable) 2mg Cap	CEL	500.0000	425.0000	YES	NO	NO
02419602	POMALIDOMIDE	Pomalyst (Off-Formulary Interchangeable) 3mg Cap	CEL	500.0000	425.0000	YES	NO	NO
02419610	POMALIDOMIDE	Pomalyst (Off-Formulary Interchangeable) 4mg Cap	CEL	500.0000	425.0000	YES	NO	NO