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: 10

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
02244266	CASPOFUNGIN	Cancidas (Off-Formulary Interchangeable) 70mg/Vial Inj Pd-Vial Pk	FRS	N/A	N/A	YES	NO	NO
02244265	CASPOFUNGIN ACETATE	Cancidas (Off-Formulary Interchangeable) 50mg/Vial Inj-Vial Pk	FRS	N/A	N/A	YES	NO	NO
00782742	CYCLOBENZAPRINE HCL	Flexeril (Not a Benefit) 10mg Tab	FRS	N/A	N/A	YES	NO	YES
00248843	PENICILLIN V (POTASSIUM)	PVF-K 500 (Not a Benefit) 300mg Tab	FRS	N/A	N/A	YES	NO	NO
02240520	RIZATRIPTAN	Maxalt (Off-Formulary Interchangeable) 5mg Tab	FRS	N/A	N/A	YES	NO	NO
00432369	SULINDAC	Clinoril (Not a Benefit) 200mg Tab	FRS	N/A	N/A	YES	NO	YES
00456888	SULINDAC	Clinoril (Not a Benefit) 150mg Tab	FRS	N/A	N/A	YES	NO	YES
00353914	TIMOLOL MALEATE	Blocadren (Not a Benefit) 5mg Tab	FRS	N/A	N/A	YES	NO	NO
00353922	TIMOLOL MALEATE	Blocadren (Not a Benefit) 10mg Tab	FRS	N/A	N/A	YES	NO	NO
00495611	TIMOLOL MALEATE	Blocadren (Not a Benefit) 20mg Tab	FRS	N/A	N/A	YES	NO	NO