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Products found: 44New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02533251ABIRATERONE ACETATEReddy-Abiraterone (Off-Formulary Interchangeable) 500mg TabDRR52.062552.0625YESNONO
02477114ABIRATERONE ACETATEReddy-Abiraterone (Off-Formulary Interchangeable) 250mg TabDRR26.031326.0313YESNONO
02477440ALITRETINOINHanzema 30mg CapDRR16.986816.9868YESYESYES
02477432ALITRETINOINHanzema 10mg CapDRR16.986816.9868YESYESYES
02417944ATORVASTATIN CALCIUMReddy-Atorvastatin 20mg TabDRR0.21790.2179YESNONO
02417960ATORVASTATIN CALCIUMReddy-Atorvastatin 80mg TabDRR0.23420.2342YESNONO
02417952ATORVASTATIN CALCIUMReddy-Atorvastatin 40mg TabDRR0.23420.2342YESNONO
02417936ATORVASTATIN CALCIUMReddy-Atorvastatin 10mg TabDRR0.17430.1743YESNONO
02519437CLOBETASOL PROPIONATEReddy-Clobetasol Shampoo (Off-Formulary Interchangeable) 0.05% w/w Top ShampooDRR1.0838N/AYESNOYES
02490463DAPTOMYCINDaptomycin for Injection (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol-Vial PkDRR162.3500162.3500YESNONO
02514745DASATINIBReddy-Dasatinib (Off-Formulary Interchangeable) 50mg TabDRR66.178266.1782YESNONO
02514737DASATINIBReddy-Dasatinib (Off-Formulary Interchangeable) 20mg TabDRR32.882332.8823YESNONO
02514753DASATINIBReddy-Dasatinib (Off-Formulary Interchangeable) 70mg TabDRR72.933672.9336YESNONO
02514761DASATINIBReddy-Dasatinib (Off-Formulary Interchangeable) 80mg TabDRR117.3255N/AYESNONO
02514788DASATINIBReddy-Dasatinib (Off-Formulary Interchangeable) 100mg TabDRR132.2670132.2670YESNONO
02514796DASATINIBReddy-Dasatinib (Off-Formulary Interchangeable) 140mg TabDRR141.8806N/AYESNONO
02511150ERTAPENEMErtapenem for Injection (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial PkDRR52.265052.2650YESNONO
02406853FONDAPARINUX SODIUMFondaparinux Sodium Injection 2.5mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk (Preservative Free)DRR11.194411.1944YESYESNO
02406896FONDAPARINUX SODIUMFondaparinux Sodium Injection (Off-Formulary Interchangeable) 7.5mg/0.6mL Inj Sol-Pref Syr 0.6mL Pk (Preservative Free)DRR18.135618.1356YESNONO
02483033LENALIDOMIDEReddy-Lenalidomide 15mg CapDRR95.500095.5000YESYESNO
02483025LENALIDOMIDEReddy-Lenalidomide 10mg CapDRR90.250090.2500YESYESNO
02483017LENALIDOMIDEReddy-Lenalidomide 5mg CapDRR85.000085.0000YESYESNO
02484714LENALIDOMIDEReddy-Lenalidomide 2.5mg CapDRR82.375082.3750YESYESNO
02483041LENALIDOMIDEReddy-Lenalidomide 20mg CapDRR100.7500100.7500YESYESNO
02483068LENALIDOMIDEReddy-Lenalidomide 25mg CapDRR106.0000106.0000YESYESNO
01911929NITROGLYCERINNitro-Dur 0.6mg/Hr Transdermal PatchDRR0.50400.5040YESNONO
01911902NITROGLYCERINNitro-Dur 0.4mg/Hr Transdermal PatchDRR0.50400.5040YESNONO
01911910NITROGLYCERINNitro-Dur 0.2 (Off-Formulary Interchangeable) 0.2mg/Hr Transdermal PatchDRRN/AN/AYESNONO
02011271NITROGLYCERINNitro-Dur 0.8 (Off-Formulary Interchangeable) 0.8mg/Hr Transdermal PatchDRRN/AN/AYESNONO
02504111POMALIDOMIDEReddy-Pomalidomide (Off-Formulary Interchangeable) 4mg CapDRR425.0000425.0000YESNONO
02504081POMALIDOMIDEReddy-Pomalidomide (Off-Formulary Interchangeable) 2mg CapDRR425.0000425.0000YESNONO
02504103POMALIDOMIDEReddy-Pomalidomide (Off-Formulary Interchangeable) 3mg CapDRR425.0000425.0000YESNONO
02504073POMALIDOMIDEReddy-Pomalidomide (Off-Formulary Interchangeable) 1mg CapDRR425.0000425.0000YESNONO
02463113PROGESTERONEReddy-Progesterone (Off-Formulary Interchangeable) 100mg CapDRR1.43581.4358YESNONO
02472414RIVAROXABANReddy-Rivaroxaban 10mg TabDRR0.71750.7175YESYESNO
02472430RIVAROXABANReddy-Rivaroxaban 15mg TabDRR0.71750.7175YESYESNO
02472422RIVAROXABANReddy-Rivaroxaban 20mg TabDRR0.71750.7175YESYESNO
02524503RIVAROXABANReddy-Rivaroxaban 2.5mg TabDRR0.35500.3550YESYESNO
02534533SAPROPTERIN DIHYDROCHLORIDEReddy-Sapropterin (Off-Formulary Interchangeable) 100mg Pd for Sol (Sachet Pk)DRR24.7500N/AYESNONO
02535610SAPROPTERIN DIHYDROCHLORIDEReddy-Sapropterin (Off-Formulary Interchangeable) 500mg Pd for Sol (Sachet Pk)DRR123.7500N/AYESNONO
09858315VIGABATRINVigabatrin for Oral Solution, USP 500mg (Temporary Benefit) 500mg/Sachet Pd for Oral SolDRR5.00005.0000NONONO
09858318VIGABATRINVigabatrin Tablets, USP (Temporary Benefit) 500mg TabDRR5.00005.0000NONONO
02422433ZOLEDRONIC ACIDZoledronic Acid Injection 5mg/100mL Inj Sol-100mL Pk (Preservative-Free)DRR356.0100356.0100YESYESNO
02422425ZOLEDRONIC ACIDZoledronic Acid for Inj. Concentrate (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)DRR415.5600415.5600YESNONO