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: 3

DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Interchangeable	Limited Use	Therapeutic Notes
02213702	BECLOMETHASONE DIPROPIONATE	Beconase Aqueous (Not a Benefit) 50mcg Nas-Sp-200 Dose Pk	GLW	N/A	N/A	YES	NO	YES
02213478	SALBUTAMOL	Ventolin (Not a Benefit) 100mcg/Metered Dose Inh-200 dose Pk	GLW	N/A	N/A	YES	NO	NO
02212188	SUMATRIPTAN SUCCINATE	Imitrex (Off-Formulary Interchangeable) 6mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk	GLW	55.3600	42.4650	YES	NO	NO