Search Results

You can sort your results in ascending / descending order by clicking on the column headings, with the exception of Therapeutic Notes.

Products found: 22

New Search

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
02216205	DORZOLAMIDE HCL	Trusopt 2% Oph Sol	ELV	6.1267	1.4757	YES	YES	NO
02240113	DORZOLAMIDE HCL & TIMOLOL MALEATE	Cosopt 2% & 0.5% Oph Sol	ELV	9.6613	2.0951	YES	YES	NO
02258692	DORZOLAMIDE HCL & TIMOLOL MALEATE	Cosopt Preservative free 2% & 0.5% Oph Sol-0.2mL Pk	ELV	0.8505	0.8505	NO	YES	NO
02470322	METHYLPHENIDATE HCL	Foquest 55mg CR Cap	ELV	3.7580	3.7580	NO	NO	YES
02470292	METHYLPHENIDATE HCL	Foquest 25mg CR Cap	ELV	2.9050	2.9050	NO	NO	YES
02470306	METHYLPHENIDATE HCL	Foquest 35mg CR Cap	ELV	3.1950	3.1950	NO	NO	YES
02470314	METHYLPHENIDATE HCL	Foquest 45mg CR Cap	ELV	3.4725	3.4725	NO	NO	YES
02470349	METHYLPHENIDATE HCL	Foquest 85mg CR Cap	ELV	4.6080	4.6080	NO	NO	YES
02470357	METHYLPHENIDATE HCL	Foquest 100mg CR Cap	ELV	5.0230	5.0230	NO	NO	YES
02470330	METHYLPHENIDATE HCL	Foquest 70mg CR Cap	ELV	4.1880	4.1880	NO	NO	YES
02277212	METHYLPHENIDATE HCL	Biphentin 80mg ER Cap	ELV	6.0670	3.0883	YES	NO	YES
02277204	METHYLPHENIDATE HCL	Biphentin 60mg ER Cap	ELV	4.6017	2.3425	YES	NO	YES
02277190	METHYLPHENIDATE HCL	Biphentin 50mg ER Cap	ELV	3.9544	2.0130	YES	NO	YES
02277182	METHYLPHENIDATE HCL	Biphentin 40mg ER Cap	ELV	3.2588	1.6588	YES	NO	YES
02277158	METHYLPHENIDATE HCL	Biphentin 20mg ER Cap	ELV	1.8615	0.9477	YES	NO	YES
02277131	METHYLPHENIDATE HCL	Biphentin 15mg ER Cap	ELV	1.4447	0.7354	YES	NO	YES
02277166	METHYLPHENIDATE HCL	Biphentin 10mg ER Cap	ELV	1.0074	0.5128	YES	NO	YES
02277174	METHYLPHENIDATE HCL	Biphentin 30mg ER Cap	ELV	2.5581	1.3021	YES	NO	YES
02014165	THEOPHYLLINE ANHYDROUS	Uniphyl (Not a Benefit) 400mg SR Tab	ELV	N/A	N/A	YES	NO	NO
02014181	THEOPHYLLINE ANHYDROUS	Uniphyl (Not a Benefit) 600mg SR Tab	ELV	N/A	N/A	YES	NO	NO
02171899	TIMOLOL MALEATE	Timoptic-XE 0.5% Oph Gellan Sol	ELV	9.1190	3.5320	YES	NO	YES
00451207	TIMOLOL MALEATE	Timoptic 0.5% Oph Sol	ELV	7.1408	1.2145	YES	NO	YES

New Search