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Products found: 16

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
00029149	AMPHOTERICIN B	Fungizone Inj Pd-50mg Pk	CHE	99.6230	99.6230	NO	NO	NO
02228955	BUSERELIN ACETATE	Suprefact Depot 2 Months 6.3mg Implant Kit	CHE	929.2348	929.2348	NO	NO	NO
02240749	BUSERELIN ACETATE	Suprefact Depot 3 Months 9.45mg Implant Kit	CHE	1376.9938	1376.9938	NO	NO	NO
02225166	BUSERELIN ACETATE	Suprefact 1mg/mL Inj Sol-5.5mL Pk	CHE	75.2406	75.2406	NO	NO	NO
02225158	BUSERELIN ACETATE	Suprefact 1mg/mL Nas Sp-10mL Pk	CHE	85.5300	85.5300	NO	NO	NO
01911481	CILAZAPRIL	Inhibace 5mg Tab	CHE	1.1200	0.4989	YES	NO	NO
02181479	CILAZAPRIL & HYDROCHLOROTHIAZIDE	Inhibace Plus 5mg/12.5mg Tab	CHE	1.1195	0.4170	YES	NO	NO
02224801	DISOPYRAMIDE	Rythmodan 100mg Cap	CHE	0.3311	0.3311	YES	NO	NO
00616192	ETOPOSIDE	Vepesid 50mg Cap	CHE	46.6807	46.6807	NO	NO	NO
02162695	GANCICLOVIR SODIUM	Cytovene 500mg/Vial Pd Inj-10mL Pk	CHE	50.0038	50.0038	NO	NO	NO
02221861	NILUTAMIDE	Anandron 50mg Tab	CHE	2.7051	2.7051	NO	NO	NO
00846503	OMEPRAZOLE	Losec DR Cap (Not a Benefit) 20mg	CHE	N/A	N/A	YES	NO	NO
02190915	OMEPRAZOLE	Losec DR Tab (Not a Benefit) 20mg	CHE	N/A	N/A	YES	NO	NO
09857195	OMEPRAZOLE MAGNESIUM	Losec DR Tab (Not a Benefit) 20mg	CHE	N/A	N/A	YES	NO	NO
02306085	VALGANCICLOVIR	Valcyte 50mg/mL Pd for Oral Sol-100mL Pk	CHE	308.1394	150.9900	YES	YES	NO
02245777	VALGANCICLOVIR	Valcyte 450mg Tab	CHE	27.7347	5.8553	YES	YES	NO