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Products found: 7

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
02365871	ADAPALENE & BENZOYL PEROXIDE	TactuPump (Off-Formulary Interchangeable) 0.1%w/w & 2.5%w/w Top Gel	GAC	N/A	N/A	YES	NO	NO
02446235	ADAPALENE & BENZOYL PEROXIDE	TactuPump Forte (Off-Formulary Interchangeable) 0.3% w/w & 2.5% w/w Top Gel	GAC	N/A	N/A	YES	NO	NO
02338572	CALCITRIOL	Silkis 3mcg/g Oint	GAC	1.3625	1.3625	NO	YES	NO
02256371	CLOBETASOL PROPIONATE	Clobex Shampoo (Off-Formulary Interchangeable) 0.05% w/w Top Shampoo	GAC	N/A	N/A	YES	NO	YES
02299739	CLOBETASOL PROPIONATE	Clobex Spray (Off-Formulary Interchangeable) 0.05% w/w Top Sol Sp	GAC	N/A	N/A	YES	NO	YES
02375885	DOXYCYCLINE	Apprilon (Off-Formulary Interchangeable) 40mg MR Cap	GAC	N/A	N/A	YES	NO	NO
02297809	METRONIDAZOLE	Metrogel 1% Top Gel	GAC	0.7235	0.7235	NO	NO	NO