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Products found: 16New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02474921BUPRENORPHINE HYDROCHLORIDEProbuphine 80mg Subdermal Implant-Kit PkKNT1495.00001495.0000NOYESNO
02503689ESTRADIOL HEMIHYDRATEImvexxy 4mcg Vag InsertKNT3.62883.6288NONONO
02503697ESTRADIOL HEMIHYDRATEImvexxy 10mcg Vag InsertKNT3.62883.6288NONONO
02505223ESTRADIOL HEMIHYDRATE & PROGESTERONEBijuva 1mg & 100mg CapKNT0.89620.8962NONONO
02468735NETUPITANT & PALONOSETRON HYDROCHLORIDEAkynzeo 300mg & 0.5mg CapKNT144.0075144.0075NOYESNO
02242116RIVASTIGMINEExelon 3mg CapKNT3.18100.6514YESYESNO
02242115RIVASTIGMINEExelon 1.5mg CapKNT3.18100.6514YESYESNO
02242117RIVASTIGMINEExelon 4.5mg CapKNT3.18100.6514YESYESNO
02242118RIVASTIGMINEExelon 6mg CapKNT3.18100.6514YESYESNO
02302853RIVASTIGMINEExelon Patch 10 (Off-Formulary Interchangeable) 18mg/10 Sq Cm Trans PatchKNTN/AN/AYESNONO
02302845RIVASTIGMINEExelon Patch 5 (Off-Formulary Interchangeable) 9mg/5 Sq Cm Trans PatchKNTN/AN/AYESNONO
09857199TRIPTORELIN PAMOATETrelstar (1 Month) 3.75mg/Vial Inj Pd with Sterile Water-Vial PkKNT346.3100346.3100NONONO
09857200TRIPTORELIN PAMOATETrelstar LA (3 Month) 11.25mg/Vial Inj Pd with Sterile Water-Vial PkKNT1038.97001038.9700NONONO
02240000TRIPTORELIN PAMOATETrelstar (1 Month) 3.75mg/Vial Inj Pd-Vial PkKNT346.3100346.3100NONONO
02243856TRIPTORELIN PAMOATETrelstar LA (3 Month) 11.25mg/Vial Inj Pd-Vial PkKNT1038.97001038.9700NONONO
02412322TRIPTORELIN PAMOATETrelstar 22.5mg/Vial SR Inj Pd with Sterile Water-Vial PkKNT1659.90001659.9000NONONO