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Products found: 162New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02503980ABIRATERONE ACETATEMar-Abiraterone (Off-Formulary Interchangeable) 250mg TabMAR26.031326.0313YESNONO
02503999ABIRATERONE ACETATEMar-Abiraterone (Off-Formulary Interchangeable) 500mg TabMAR52.062552.0625YESNONO
02494078ACARBOSEMar-Acarbose 50mg TabMAR0.13480.1348YESYESNO
02494086ACARBOSEMar-Acarbose 100mg TabMAR0.18660.1866YESYESNO
02396343ALLOPURINOLMar-Allopurinol 300mg TabMAR0.21250.2125YESNOYES
02396327ALLOPURINOLMar-Allopurinol 100mg TabMAR0.07800.0780YESNOYES
02396335ALLOPURINOLMar-Allopurinol 200mg TabMAR0.13000.1300YESNOYES
02429896AMITRIPTYLINEMar-Amitriptyline 50mg TabMAR0.15400.1540YESNONO
02429861AMITRIPTYLINEMar-Amitriptyline 10mg TabMAR0.04350.0435YESNONO
02429888AMITRIPTYLINEMar-Amitriptyline 25mg TabMAR0.08290.0829YESNONO
02371723AMLODIPINEMar-Amlodipine Tablets 10mg TabMAR0.19930.1993YESNONO
02371715AMLODIPINEMar-Amlodipine Tablets 5mg TabMAR0.13430.1343YESNONO
02379562ANASTROZOLEMar-Anastrozole 1mg TabMAR0.95220.9522YESNONO
09858173APIXABANMar-Apixaban 2.5mg TabMAR0.40840.4084YESYESNO
02492377APIXABANMar-Apixaban 5mg TabMAR0.40840.4084YESYESNO
02492369APIXABANMar-Apixaban 2.5mg TabMAR0.40840.4084YESYESNO
02371995ATENOLOLMar-Atenolol 100mg TabMAR0.15430.1543YESNONO
02371987ATENOLOLMar-Atenolol 50mg TabMAR0.09380.0938YESNONO
02454041ATORVASTATIN CALCIUMMar-Atorvastatin 80mg TabMAR0.23420.2342YESNONO
02454025ATORVASTATIN CALCIUMMar-Atorvastatin 20mg TabMAR0.21790.2179YESNONO
02454017ATORVASTATIN CALCIUMMar-Atorvastatin 10mg TabMAR0.17430.1743YESNONO
02454033ATORVASTATIN CALCIUMMar-Atorvastatin 40mg TabMAR0.23420.2342YESNONO
02452324AZITHROMYCINMar-Azithromycin 250mg TabMAR0.94100.9410YESNOYES
02420058CELECOXIBMar-Celecoxib 100mg CapMAR0.12790.1279YESYESYES
02420066CELECOXIBMar-Celecoxib 200mg CapMAR0.25580.2558YESYESYES
02427133CETIRIZINE HYDROCHLORIDEMar-Cetirizine (Off-Formulary Interchangeable) 10mg TabMAR0.4083N/AYESNONO
02427141CETIRIZINE HYDROCHLORIDEMar-Cetirizine (Off-Formulary Interchangeable) 20mg TabMAR0.7535N/AYESNONO
02480328CINACALCETMar-Cinacalcet (Off-Formulary Interchangeable) 90mg TabMAR27.051727.0517YESNONO
02480298CINACALCETMar-Cinacalcet (Off-Formulary Interchangeable) 30mg TabMAR10.194710.1947YESNONO
02480301CINACALCETMar-Cinacalcet (Off-Formulary Interchangeable) 60mg TabMAR18.590018.5900YESNONO
02379686CIPROFLOXACINMar-Ciprofloxacin 250mg TabMAR0.44540.4454YESNOYES
02379694CIPROFLOXACINMar-Ciprofloxacin 500mg TabMAR0.50250.5025YESNOYES
02379708CIPROFLOXACINMar-Ciprofloxacin 750mg TabMAR0.92010.9201YESNOYES
02371901CITALOPRAM HYDROBROMIDEMar-Citalopram 40mg TabMAR0.13320.1332YESNONO
02371898CITALOPRAM HYDROBROMIDEMar-Citalopram 20mg TabMAR0.13320.1332YESNONO
02524198CLONIDINE HCLMar-Clonidine (Off-Formulary Interchangeable) 0.025mg TabMAR0.2713N/AYESNOYES
02422255CLOPIDOGREL BISULFATEMar-Clopidogrel 75mg TabMAR0.26310.2631YESNONO
02481227DAPSONEMar-Dapsone 100mg TabMAR0.70310.7031YESNONO
02484064DILTIAZEM HCLMar-Diltiazem CD 120mg LA CapMAR0.36340.3634YESNONO
02484072DILTIAZEM HCLMar-Diltiazem CD 180mg LA CapMAR0.48240.4824YESNONO
02484099DILTIAZEM HCLMar-Diltiazem CD 300mg LA CapMAR0.79990.7999YESNONO
02484080DILTIAZEM HCLMar-Diltiazem CD 240mg LA CapMAR0.63990.6399YESNONO
02465353DILTIAZEM HCLMar-Diltiazem T 120mg SR CapMAR0.21330.2133YESNONO
02465361DILTIAZEM HCLMar-Diltiazem T 180mg SR CapMAR0.28890.2889YESNONO
02465418DILTIAZEM HCLMar-Diltiazem T 360mg SR CapMAR0.57780.5778YESNONO
02465396DILTIAZEM HCLMar-Diltiazem T 300mg SR CapMAR0.47200.4720YESNONO
02465388DILTIAZEM HCLMar-Diltiazem T 240mg SR CapMAR0.38320.3832YESNONO
02502690DIMETHYL FUMARATEMar-Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR CapMAR9.19339.1933YESNONO
02502704DIMETHYL FUMARATEMar-Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR CapMAR18.386718.3867YESNONO
02403870DOMPERIDONE MALEATEMar-Domperidone 10mg TabMAR0.04280.0428YESNONO
02402092DONEPEZIL HCLMar-Donepezil 5mg TabMAR0.45860.4586YESYESNO
02402106DONEPEZIL HCLMar-Donepezil 10mg TabMAR0.45860.4586YESYESNO
02446081DULOXETINEMar-Duloxetine 30mg DR CapMAR0.48140.3611YESNONO
02446103DULOXETINEMar-Duloxetine 60mg DR CapMAR0.97690.7327YESNONO
02459469ENALAPRIL MALEATEMar-Enalapril 5mg TabMAR0.22030.2203YESNONO
02444798ENALAPRIL MALEATEMar-Enalapril 20mg TabMAR0.31950.3195YESNONO
02444771ENALAPRIL MALEATEMar-Enalapril 10mg TabMAR0.26470.2647YESNONO
02459450ENALAPRIL MALEATEMar-Enalapril 2.5mg TabMAR0.18630.1863YESNONO
02423502ESCITALOPRAMMar-Escitalopram 20mg TabMAR0.33100.3310YESNONO
02423480ESCITALOPRAMMar-Escitalopram 10mg TabMAR0.31090.3109YESNONO
02422662EZETIMIBEMar-Ezetimibe 10mg TabMAR0.18110.1811YESYESNO
02473607FEBUXOSTATMar-Febuxostat (Off-Formulary Interchangeable) 80mg TabMAR1.35151.3515YESNONO
02474743FINGOLIMODMar-Fingolimod (Off-Formulary Interchangeable) 0.5mg CapMAR73.909673.9096YESNONO
02476177FLECAINIDE ACETATEMar-Flecainide 50mg TabMAR0.13890.1389YESNONO
02476185FLECAINIDE ACETATEMar-Flecainide 100mg TabMAR0.27790.2779YESNONO
02428792FLUCONAZOLEMar-Fluconazole-150 150mg CapMAR3.94243.9424YESYESYES
02391473GABAPENTINMar-Gabapentin 100mg CapMAR0.04160.0416YESNONO
02391503GABAPENTINMar-Gabapentin 400mg CapMAR0.12060.1206YESNONO
02391481GABAPENTINMar-Gabapentin 300mg CapMAR0.10120.1012YESNONO
02465124KETOROLAC TROMETHAMINEMar-Ketorolac (Off-Formulary Interchangeable) 10mg TabMAR0.6028N/AYESNOYES
02487802LACOSAMIDEMar-Lacosamide 50mg TabMAR0.63130.6313YESYESNO
02487810LACOSAMIDEMar-Lacosamide 100mg TabMAR0.87500.8750YESYESNO
02487829LACOSAMIDEMar-Lacosamide 150mg TabMAR1.17631.1763YESYESNO
02487837LACOSAMIDEMar-Lacosamide 200mg TabMAR1.45001.4500YESYESNO
02373424LETROZOLEMar-Letrozole 2.5mg TabMAR1.37801.3780YESNONO
02378620METFORMIN HCLMar-Metformin 500mg TabMAR0.02470.0247YESNONO
02378639METFORMIN HCLMar-Metformin (Off-Formulary Interchangeable) 850mg TabMAR0.2090N/AYESNONO
02480107METHIMAZOLEMar-Methimazole 5mg TabMAR0.15310.1531YESNONO
02480115METHIMAZOLEMar-Methimazole (Off-Formulary Interchangeable) 10mg TabMAR0.5181N/AYESNONO
02517795METOCLOPRAMIDE HCLMar-Metoclopramide 5mg TabMAR0.05140.0514YESNONO
02473984MIDODRINE HCLMar-Midodrine 2.5mg TabMAR0.11530.1153YESYESNO
02473992MIDODRINE HCLMar-Midodrine 5mg TabMAR0.19210.1921YESYESNO
02432560MODAFINILMar-Modafinil (Off-Formulary Interchangeable) 100mg TabMAR0.92930.9293YESNOYES
02399865MONTELUKAST SODIUMMar-Montelukast 4mg Chew TabMAR0.27580.2758YESYESNO
02399873MONTELUKAST SODIUMMar-Montelukast (Off-Formulary Interchangeable) 5mg Chew TabMAR1.20751.2075YESNONO
02399997MONTELUKAST SODIUMMar-Montelukast (Off-Formulary Interchangeable) 10mg TabMAR1.77351.7735YESNONO
02447053MOXIFLOXACIN HYDROCHLORIDEMar-Moxifloxacin 400mg TabMAR1.52301.5230YESNONO
02522233MYCOPHENOLATE MOFETILMar-Mycophenolate Mofetil 200mg/mL Pd for Oral Susp-175mL PkMAR244.7025244.7025YESYESNO
02511673MYCOPHENOLATE SODIUMMar-Mycophenolic Acid 180mg Ent TabMAR0.99890.9989YESNONO
02511681MYCOPHENOLATE SODIUMMar-Mycophenolic Acid 360mg Ent TabMAR1.99771.9977YESNONO
02514966ONDANSETRON HYDROCHLORIDEMar-Ondansetron ODT Tablet 4mgMAR3.27202.5450YESYESNO
02514974ONDANSETRON HYDROCHLORIDEMar-Ondansetron ODT Tablet 8mgMAR4.99303.8840YESYESNO
02371731ONDANSETRON HYDROCHLORIDEMar-Ondansetron 4mg TabMAR3.34952.5450YESYESNO
02371758ONDANSETRON HYDROCHLORIDEMar-Ondansetron 8mg TabMAR5.11103.8840YESYESNO
02497352OSELTAMIVIR PHOSPHATEMar-Oseltamivir 30mg CapMAR0.52430.5243YESYESNO
02497379OSELTAMIVIR PHOSPHATEMar-Oseltamivir 75mg CapMAR1.03931.0393YESYESNO
02416565PANTOPRAZOLE SODIUMMar-Pantoprazole 40mg Ent TabMAR0.20160.2016YESYESNO
02416557PANTOPRAZOLE SODIUMMar-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent TabMAR1.2750N/AYESNONO
02411962PAROXETINE HCLMar-Paroxetine 30mg TabMAR0.34530.3453YESNONO
02411954PAROXETINE HCLMar-Paroxetine 20mg TabMAR0.32500.3250YESNONO
02411946PAROXETINE HCLMar-Paroxetine (Off-Formulary Interchangeable) 10mg TabMAR1.0430N/AYESNONO
02474824PERINDOPRIL ERBUMINEMar-Perindopril 2mg TabMAR0.16320.1632YESNONO
02474832PERINDOPRIL ERBUMINEMar-Perindopril 4mg TabMAR0.20420.2042YESNONO
02474840PERINDOPRIL ERBUMINEMar-Perindopril 8mg TabMAR0.28310.2831YESNONO
02432048PRAVASTATIN SODIUMMar-Pravastatin 10mg TabMAR0.29160.2916YESNONO
02432056PRAVASTATIN SODIUMMar-Pravastatin 20mg TabMAR0.34400.3440YESNONO
02432064PRAVASTATIN SODIUMMar-Pravastatin 40mg TabMAR0.41430.4143YESNONO
02417545PREGABALINMar-Pregabalin 75mg CapMAR0.30070.3007YESNONO
02417537PREGABALINMar-Pregabalin 50mg CapMAR0.23240.2324YESNONO
02417529PREGABALINMar-Pregabalin 25mg CapMAR0.14810.1481YESNONO
02417618PREGABALINMar-Pregabalin 300mg CapMAR0.41450.4145YESNONO
02417596PREGABALINMar-Pregabalin (Off-Formulary Interchangeable) 225mg CapMAR1.7270N/AYESNONO
02417561PREGABALINMar-Pregabalin 150mg CapMAR0.41450.4145YESNONO
02399822QUETIAPINEMar-Quetiapine 25mg TabMAR0.04940.0494YESNONO
02399857QUETIAPINEMar-Quetiapine 300mg TabMAR0.38630.3863YESNONO
02399849QUETIAPINEMar-Quetiapine 200mg TabMAR0.26470.2647YESNONO
02399830QUETIAPINEMar-Quetiapine 100mg TabMAR0.13180.1318YESNONO
02420457RAMIPRILMar-Ramipril Cap 1.25mgMAR0.07080.0708YESNONO
02420465RAMIPRILMar-Ramipril Cap 2.5mgMAR0.08170.0817YESNONO
02420473RAMIPRILMar-Ramipril Cap 5mgMAR0.08170.0817YESNONO
02420481RAMIPRILMar-Ramipril Cap 10mgMAR0.10340.1034YESNONO
02420503RAMIPRILMar-Ramipril (Off-Formulary Interchangeable) 15mg CapMAR0.8550N/AYESNONO
02443716RANITIDINE HCLMar-Ranitidine 300mg TabMAR0.22530.2253YESNONO
02443708RANITIDINE HCLMar-Ranitidine 150mg TabMAR0.11970.1197YESNONO
02371790RISPERIDONEMar-Risperidone 2mg TabMAR0.40620.4062YESNONO
02371812RISPERIDONEMar-Risperidone 4mg TabMAR0.81110.8111YESNONO
02371804RISPERIDONEMar-Risperidone 3mg TabMAR0.60830.6083YESNONO
02371782RISPERIDONEMar-Risperidone 1mg TabMAR0.20310.2031YESNONO
02371774RISPERIDONEMar-Risperidone 0.5mg TabMAR0.14700.1470YESNONO
02371766RISPERIDONEMar-Risperidone 0.25mg TabMAR0.08780.0878YESNONO
02462788RIZATRIPTANMar-Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating TabMAR11.115011.1150YESNONO
02462796RIZATRIPTANMar-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating TabMAR11.115011.1150YESNONO
02379678RIZATRIPTANMar-Rizatriptan (Off-Formulary Interchangeable) 10mg TabMAR11.115011.1150YESNONO
02413051ROSUVASTATIN CALCIUMMar-Rosuvastatin 5mg TabMAR0.12840.1284YESNONO
02413078ROSUVASTATIN CALCIUMMar-Rosuvastatin 10mg TabMAR0.13540.1354YESNONO
02413108ROSUVASTATIN CALCIUMMar-Rosuvastatin 40mg TabMAR0.19900.1990YESNONO
02413086ROSUVASTATIN CALCIUMMar-Rosuvastatin 20mg TabMAR0.16920.1692YESNONO
02399415SERTRALINE HCLMar-Sertraline 25mg CapMAR0.15160.1516YESNOYES
02399431SERTRALINE HCLMar-Sertraline 100mg CapMAR0.33030.3303YESNOYES
02399423SERTRALINE HCLMar-Sertraline 50mg CapMAR0.30320.3032YESNOYES
02402548SILDENAFILMar-Sildenafil (Off-Formulary Interchangeable) 100mg TabMAR9.20069.2006YESNONO
02375079SIMVASTATINMar-Simvastatin 80mg TabMAR0.25010.2501YESNONO
02375060SIMVASTATINMar-Simvastatin 40mg TabMAR0.25010.2501YESNONO
02375052SIMVASTATINMar-Simvastatin 20mg TabMAR0.25010.2501YESNONO
02375036SIMVASTATINMar-Simvastatin 5mg TabMAR0.10230.1023YESNONO
02375044SIMVASTATINMar-Simvastatin 10mg TabMAR0.20230.2023YESNONO
02452243TADALAFILMar-Tadalafil (Off-Formulary Interchangeable) 20mg TabMAR12.357512.3575YESNONO
02452251TADALAFILMar-Tadalafil (Off-Formulary Interchangeable) 10mg TabMAR11.925011.9250YESNONO
02452278TADALAFILMar-Tadalafil (Off-Formulary Interchangeable) 5mg TabMAR3.64713.6471YESNONO
02452286TADALAFILMar-Tadalafil (Off-Formulary Interchangeable) 2.5mg TabMAR3.64713.6471YESNONO
02500469TERIFLUNOMIDEMar-Teriflunomide 14mg TabMAR14.930014.9300YESYESNO
02432099TOPIRAMATEMar-Topiramate 25mg TabMAR0.24330.2433YESNONO
02432102TOPIRAMATEMar-Topiramate 100mg TabMAR0.45830.4583YESNONO
02432110TOPIRAMATEMar-Topiramate 200mg TabMAR0.67480.6748YESNONO
02480859TRAMADOL HCLMar-Tramadol (Off-Formulary Interchangeable) 50mg TabMAR0.6386N/AYESNOYES
02388324TRAMADOL HCL & ACETAMINOPHENMar-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg TabMAR0.6264N/AYESNOYES
02496232TRANEXAMIC ACIDMar-Tranexamic Acid (Off-Formulary Interchangeable) 500mg TabMAR0.80710.8071YESNONO
02488353TROSPIUM CHLORIDEMar-Trospium 20mg TabMAR0.40720.4072YESYESNO
02472805ZOLEDRONIC ACIDZoledronic Acid for Injection (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)MAR415.5600415.5600YESNONO
02399458ZOLMITRIPTANMar-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg TabMAR6.85836.8583YESNONO
02386798ZOPICLONEMar-Zopiclone (Off-Formulary Interchangeable) 7.5mg TabMAR0.46850.4685YESNONO
02386771ZOPICLONEMar-Zopiclone (Off-Formulary Interchangeable) 5mg TabMAR0.22310.2231YESNONO