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: 8

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
02242029	BECLOMETHASONE DIPROPIONATE	QVAR 50mcg/Metered Dose Aero Inh-200 Dose Pk	GRA	40.4607	40.4607	NO	NO	NO
02242030	BECLOMETHASONE DIPROPIONATE	QVAR 100mcg/Metered Dose Aero Inh-200 Dose Pk	GRA	80.6832	80.6832	NO	NO	NO
01966065	BENZYDAMINE HCL	Tantum (Not a Benefit) 0.15% Oral Rinse	GRA	N/A	N/A	YES	NO	NO
01966197	FLECAINIDE ACETATE	Tambocor (Not a Benefit) 50mg Tab	GRA	N/A	N/A	YES	NO	NO
01966200	FLECAINIDE ACETATE	Tambocor (Not a Benefit) 100mg Tab	GRA	N/A	N/A	YES	NO	NO
02163527	NITROGLYCERIN	Minitran 0.4mg/Hr/13.3 Sq Cm Patch	GRA	0.8047	0.8047	NO	NO	NO
02163535	NITROGLYCERIN	Minitran 0.6mg/Hr/20 Sq Cm Patch	GRA	0.8050	0.8050	NO	NO	NO
02232570	SALBUTAMOL	Airomir HFA 100mcg/Metered Dose Inh-200 dose Pk	GRA	6.2593	5.0000	YES	NO	NO