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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	93.2763	93.2763	NO	NO	NO
02228955	BUSERELIN ACETATE	Suprefact Depot 2 Months 6.3mg Implant Kit	CHE	870.0704	870.0704	NO	NO	NO
02240749	BUSERELIN ACETATE	Suprefact Depot 3 Months 9.45mg Implant Kit	CHE	1289.3248	1289.3248	NO	NO	NO
02225166	BUSERELIN ACETATE	Suprefact 1mg/mL Inj Sol-5.5mL Pk	CHE	70.4485	70.4485	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	0.9978	0.4989	YES	NO	NO
02181479	CILAZAPRIL & HYDROCHLOROTHIAZIDE	Inhibace Plus 5mg/12.5mg Tab	CHE	0.9975	0.4170	YES	NO	NO
02224801	DISOPYRAMIDE	Rythmodan 100mg Cap	CHE	0.3100	0.3100	YES	NO	NO
00616192	ETOPOSIDE	Vepesid 50mg Cap	CHE	43.7085	43.7085	NO	NO	NO
02162695	GANCICLOVIR SODIUM	Cytovene 500mg/Vial Pd Inj-10mL Pk	CHE	44.5480	44.5480	NO	NO	NO
02221861	NILUTAMIDE	Anandron 50mg Tab	CHE	2.5329	2.5329	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	274.5200	274.5200	NO	YES	NO
02245777	VALGANCICLOVIR	Valcyte 450mg Tab	CHE	24.7087	5.8553	YES	YES	NO