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Products found: 58New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02468034AMLODIPINEM-Amlodipine 10mg TabMAT0.19930.1993YESNONO
02468026AMLODIPINEM-Amlodipine 5mg TabMAT0.13430.1343YESNONO
02471183ATORVASTATIN CALCIUMM-Atorvastatin 40mg TabMAT0.23420.2342YESNONO
02471191ATORVASTATIN CALCIUMM-Atorvastatin 80mg TabMAT0.23420.2342YESNONO
02471167ATORVASTATIN CALCIUMM-Atorvastatin 10mg TabMAT0.17430.1743YESNONO
02471175ATORVASTATIN CALCIUMM-Atorvastatin 20mg TabMAT0.21790.2179YESNONO
02502038AZITHROMYCINM-Azithromycin 250mg TabMAT0.94100.9410YESNOYES
02495473CELECOXIBM-Celecoxib 200mg CapMAT0.25580.2558YESYESYES
02495465CELECOXIBM-Celecoxib 100mg CapMAT0.12790.1279YESYESYES
02512025CETIRIZINE HYDROCHLORIDEM-Cetirizine (Off-Formulary Interchangeable) 20mg TabMAT0.7535N/AYESNONO
02481987CINACALCETM-Cinacalcet (Off-Formulary Interchangeable) 30mg TabMAT10.194710.1947YESNONO
02482002CINACALCETM-Cinacalcet (Off-Formulary Interchangeable) 90mg TabMAT27.051727.0517YESNONO
02481995CINACALCETM-Cinacalcet (Off-Formulary Interchangeable) 60mg TabMAT18.590018.5900YESNONO
02471396CLARITHROMYCINM-Clarithromycin (Off-Formulary Interchangeable) 500mg TabMAT2.2009N/AYESNOYES
02471388CLARITHROMYCINM-Clarithromycin 250mg TabMAT0.41220.4122YESNOYES
02479931CLINDAMYCIN HCLM-Clindamycin 300mg CapMAT0.44340.4434YESNONO
02479923CLINDAMYCIN HCLM-Clindamycin 150mg CapMAT0.22170.2217YESNONO
02502283CLOPIDOGREL BISULFATEM-Clopidogrel 75mg TabMAT0.26310.2631YESNONO
02467453DONEPEZIL HCLM-Donepezil 5mg TabMAT0.45860.4586YESYESNO
02467461DONEPEZIL HCLM-Donepezil 10mg TabMAT0.45860.4586YESYESNO
02473216DULOXETINEM-Duloxetine 60mg DR CapMAT0.97690.9769YESNONO
02473208DULOXETINEM-Duloxetine 30mg DR CapMAT0.48140.4814YESNONO
02471426ESCITALOPRAMM-Escitalopram 20mg TabMAT0.33100.3310YESNONO
02471418ESCITALOPRAMM-Escitalopram 10mg TabMAT0.31090.3109YESNONO
02467437EZETIMIBEM-Ezetimibe 10mg TabMAT0.18110.1811YESYESNO
02513285LATANOPROSTM-Latanoprost 0.005% Oph Sol-2.5mL PkMAT9.58309.5830YESYESNO
02514516LATANOPROST & TIMOLOL MALEATEM-Latanoprost-Timolol 50mcg/mL & 5mg/mL Oph Sol-2.5mL PkMAT11.067011.0670YESYESNO
02519755METRONIDAZOLEM-Metronidazole 500mg CapMAT0.27390.2739YESNONO
02488183MONTELUKAST SODIUMM-Montelukast (Off-Formulary Interchangeable) 10mg TabMAT1.77351.7735YESNONO
02472791MOXIFLOXACIN HYDROCHLORIDEM-Moxifloxacin 400mg TabMAT1.52301.5230YESNONO
02467372PANTOPRAZOLE SODIUMM-Pantoprazole 40mg Ent TabMAT0.20160.2016YESYESNO
02467429PAROXETINE HCLM-Paroxetine 30mg TabMAT0.34530.3453YESNONO
02467410PAROXETINE HCLM-Paroxetine 20mg TabMAT0.32500.3250YESNONO
02467402PAROXETINE HCLM-Paroxetine (Off-Formulary Interchangeable) 10mg TabMAT1.0430N/AYESNONO
02482940PERINDOPRIL ERBUMINEM-Perindopril Erbumine 8mg TabMAT0.28310.2831YESNONO
02482932PERINDOPRIL ERBUMINEM-Perindopril Erbumine 4mg TabMAT0.20420.2042YESNONO
02482924PERINDOPRIL ERBUMINEM-Perindopril Erbumine 2mg TabMAT0.16320.1632YESNONO
02496119PILOCARPINE HCLM-Pilocarpine (Off-Formulary Interchangeable) 5mg TabMAT1.17081.1708YESNONO
02476274PRAVASTATIN SODIUMM-Pravastatin 10mg TabMAT0.29160.2916YESNONO
02476290PRAVASTATIN SODIUMM-Pravastatin 40mg TabMAT0.41430.4143YESNONO
02476282PRAVASTATIN SODIUMM-Pravastatin 20mg TabMAT0.34400.3440YESNONO
02467291PREGABALINM-Pregabalin 25mg CapMAT0.14810.1481YESNONO
02467313PREGABALINM-Pregabalin 75mg CapMAT0.30070.3007YESNONO
02467305PREGABALINM-Pregabalin 50mg CapMAT0.23240.2324YESNONO
02467321PREGABALINM-Pregabalin 150mg CapMAT0.41450.4145YESNONO
02496542ROSUVASTATIN CALCIUMM-Rosuvastatin 10mg TabMAT0.13540.1354YESNONO
02496550ROSUVASTATIN CALCIUMM-Rosuvastatin 20mg TabMAT0.16920.1692YESNONO
02496534ROSUVASTATIN CALCIUMM-Rosuvastatin 5mg TabMAT0.12840.1284YESNONO
02496569ROSUVASTATIN CALCIUMM-Rosuvastatin 40mg TabMAT0.19900.1990YESNONO
02430037SILDENAFILM-Sildenafil (Off-Formulary Interchangeable) 100mg TabMAT9.2000N/AYESNONO
02512130TADALAFILM-Tadalafil (Off-Formulary Interchangeable) 20mg TabMAT12.3575N/AYESNONO
02512122TADALAFILM-Tadalafil (Off-Formulary Interchangeable) 10mg TabMAT11.9250N/AYESNONO
02512114TADALAFILM-Tadalafil (Off-Formulary Interchangeable) 5mg TabMAT3.6470N/AYESNONO
02471302VENLAFAXINE HCLM-Venlafaxine XR 150mg ER CapMAT0.19270.1927YESNONO
02471280VENLAFAXINE HCLM-Venlafaxine XR 37.5mg ER CapMAT0.09130.0913YESNONO
02471299VENLAFAXINE HCLM-Venlafaxine XR 75mg ER CapMAT0.18250.1825YESNONO
02467968ZOPICLONEM-Zopiclone (Off-Formulary Interchangeable) 7.5mg TabMAT0.46850.4685YESNONO
02467941ZOPICLONEM-Zopiclone (Off-Formulary Interchangeable) 5mg TabMAT0.22310.2231YESNONO