02477114 | ABIRATERONE ACETATE | Reddy-Abiraterone (Off-Formulary Interchangeable) 250mg Tab | DRR | 26.0313 | 26.0313 | YES | NO | NO |
02533251 | ABIRATERONE ACETATE | Reddy-Abiraterone (Off-Formulary Interchangeable) 500mg Tab | DRR | 52.0625 | 52.0625 | YES | NO | NO |
02477440 | ALITRETINOIN | Hanzema 30mg Cap | DRR | 16.9868 | 16.9868 | YES | YES | YES |
02477432 | ALITRETINOIN | Hanzema 10mg Cap | DRR | 16.9868 | 16.9868 | YES | YES | YES |
02417936 | ATORVASTATIN CALCIUM | Reddy-Atorvastatin 10mg Tab | DRR | 0.1743 | 0.1743 | YES | NO | NO |
02417952 | ATORVASTATIN CALCIUM | Reddy-Atorvastatin 40mg Tab | DRR | 0.2342 | 0.2342 | YES | NO | NO |
02417944 | ATORVASTATIN CALCIUM | Reddy-Atorvastatin 20mg Tab | DRR | 0.2179 | 0.2179 | YES | NO | NO |
02417960 | ATORVASTATIN CALCIUM | Reddy-Atorvastatin 80mg Tab | DRR | 0.2342 | 0.2342 | YES | NO | NO |
02519437 | CLOBETASOL PROPIONATE | Reddy-Clobetasol Shampoo (Off-Formulary Interchangeable) 0.05% w/w Top Shampoo | DRR | 1.0838 | N/A | YES | NO | YES |
02490463 | DAPTOMYCIN | Daptomycin for Injection (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol-Vial Pk | DRR | 162.3500 | 162.3500 | YES | NO | NO |
02514753 | DASATINIB | Reddy-Dasatinib (Off-Formulary Interchangeable) 70mg Tab | DRR | 72.9336 | 72.9336 | YES | NO | NO |
02514761 | DASATINIB | Reddy-Dasatinib (Off-Formulary Interchangeable) 80mg Tab | DRR | 117.3255 | N/A | YES | NO | NO |
02514788 | DASATINIB | Reddy-Dasatinib (Off-Formulary Interchangeable) 100mg Tab | DRR | 132.2670 | 132.2670 | YES | NO | NO |
02514745 | DASATINIB | Reddy-Dasatinib (Off-Formulary Interchangeable) 50mg Tab | DRR | 66.1782 | 66.1782 | YES | NO | NO |
02514737 | DASATINIB | Reddy-Dasatinib (Off-Formulary Interchangeable) 20mg Tab | DRR | 32.8823 | 32.8823 | YES | NO | NO |
02514796 | DASATINIB | Reddy-Dasatinib (Off-Formulary Interchangeable) 140mg Tab | DRR | 141.8806 | N/A | YES | NO | NO |
02511150 | ERTAPENEM | Ertapenem for Injection (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk | DRR | 52.2650 | 52.2650 | YES | NO | NO |
02406853 | FONDAPARINUX SODIUM | Fondaparinux Sodium Injection 2.5mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk (Preservative Free) | DRR | 11.1944 | 11.1944 | YES | YES | NO |
02406896 | FONDAPARINUX SODIUM | Fondaparinux Sodium Injection (Off-Formulary Interchangeable) 7.5mg/0.6mL Inj Sol-Pref Syr 0.6mL Pk (Preservative Free) | DRR | 18.1356 | 18.1356 | YES | NO | NO |
02483025 | LENALIDOMIDE | Reddy-Lenalidomide 10mg Cap | DRR | 90.2500 | 90.2500 | YES | YES | NO |
02483033 | LENALIDOMIDE | Reddy-Lenalidomide 15mg Cap | DRR | 95.5000 | 95.5000 | YES | YES | NO |
02484714 | LENALIDOMIDE | Reddy-Lenalidomide 2.5mg Cap | DRR | 82.3750 | 82.3750 | YES | YES | NO |
02483068 | LENALIDOMIDE | Reddy-Lenalidomide 25mg Cap | DRR | 106.0000 | 106.0000 | YES | YES | NO |
02483041 | LENALIDOMIDE | Reddy-Lenalidomide 20mg Cap | DRR | 100.7500 | 100.7500 | YES | YES | NO |
02483017 | LENALIDOMIDE | Reddy-Lenalidomide 5mg Cap | DRR | 85.0000 | 85.0000 | YES | YES | NO |
01911902 | NITROGLYCERIN | Nitro-Dur 0.4mg/Hr Transdermal Patch | DRR | 0.5040 | 0.5040 | YES | NO | NO |
01911929 | NITROGLYCERIN | Nitro-Dur 0.6mg/Hr Transdermal Patch | DRR | 0.5040 | 0.5040 | YES | NO | NO |
01911910 | NITROGLYCERIN | Nitro-Dur 0.2 (Off-Formulary Interchangeable) 0.2mg/Hr Transdermal Patch | DRR | N/A | N/A | YES | NO | NO |
02011271 | NITROGLYCERIN | Nitro-Dur 0.8 (Off-Formulary Interchangeable) 0.8mg/Hr Transdermal Patch | DRR | N/A | N/A | YES | NO | NO |
02504103 | POMALIDOMIDE | Reddy-Pomalidomide (Off-Formulary Interchangeable) 3mg Cap | DRR | 425.0000 | 425.0000 | YES | NO | NO |
02504081 | POMALIDOMIDE | Reddy-Pomalidomide (Off-Formulary Interchangeable) 2mg Cap | DRR | 425.0000 | 425.0000 | YES | NO | NO |
02504073 | POMALIDOMIDE | Reddy-Pomalidomide (Off-Formulary Interchangeable) 1mg Cap | DRR | 425.0000 | 425.0000 | YES | NO | NO |
02504111 | POMALIDOMIDE | Reddy-Pomalidomide (Off-Formulary Interchangeable) 4mg Cap | DRR | 425.0000 | 425.0000 | YES | NO | NO |
02463113 | PROGESTERONE | Reddy-Progesterone (Off-Formulary Interchangeable) 100mg Cap | DRR | 1.4358 | 1.4358 | YES | NO | NO |
02422433 | ZOLEDRONIC ACID | Zoledronic Acid Injection 5mg/100mL Inj Sol-100mL Pk (Preservative-Free) | DRR | 356.0100 | 356.0100 | YES | YES | NO |
02422425 | ZOLEDRONIC ACID | Zoledronic Acid for Inj. Concentrate (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free) | DRR | 415.5600 | 415.5600 | YES | NO | NO |