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Products found: 58

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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
02468034	AMLODIPINE	M-Amlodipine 10mg Tab	MAT	0.1993	0.1993	YES	NO	NO
02468026	AMLODIPINE	M-Amlodipine 5mg Tab	MAT	0.1343	0.1343	YES	NO	NO
02471183	ATORVASTATIN CALCIUM	M-Atorvastatin 40mg Tab	MAT	0.2342	0.2342	YES	NO	NO
02471191	ATORVASTATIN CALCIUM	M-Atorvastatin 80mg Tab	MAT	0.2342	0.2342	YES	NO	NO
02471167	ATORVASTATIN CALCIUM	M-Atorvastatin 10mg Tab	MAT	0.1743	0.1743	YES	NO	NO
02471175	ATORVASTATIN CALCIUM	M-Atorvastatin 20mg Tab	MAT	0.2179	0.2179	YES	NO	NO
02502038	AZITHROMYCIN	M-Azithromycin 250mg Tab	MAT	0.9410	0.9410	YES	NO	YES
02495473	CELECOXIB	M-Celecoxib 200mg Cap	MAT	0.2558	0.2558	YES	YES	YES
02495465	CELECOXIB	M-Celecoxib 100mg Cap	MAT	0.1279	0.1279	YES	YES	YES
02512025	CETIRIZINE HYDROCHLORIDE	M-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	MAT	0.7535	N/A	YES	NO	NO
02481987	CINACALCET	M-Cinacalcet (Off-Formulary Interchangeable) 30mg Tab	MAT	10.1947	10.1947	YES	NO	NO
02482002	CINACALCET	M-Cinacalcet (Off-Formulary Interchangeable) 90mg Tab	MAT	27.0517	27.0517	YES	NO	NO
02481995	CINACALCET	M-Cinacalcet (Off-Formulary Interchangeable) 60mg Tab	MAT	18.5900	18.5900	YES	NO	NO
02471396	CLARITHROMYCIN	M-Clarithromycin (Off-Formulary Interchangeable) 500mg Tab	MAT	2.2009	N/A	YES	NO	YES
02471388	CLARITHROMYCIN	M-Clarithromycin 250mg Tab	MAT	0.4122	0.4122	YES	NO	YES
02479931	CLINDAMYCIN HCL	M-Clindamycin 300mg Cap	MAT	0.4434	0.4434	YES	NO	NO
02479923	CLINDAMYCIN HCL	M-Clindamycin 150mg Cap	MAT	0.2217	0.2217	YES	NO	NO
02502283	CLOPIDOGREL BISULFATE	M-Clopidogrel 75mg Tab	MAT	0.2631	0.2631	YES	NO	NO
02467453	DONEPEZIL HCL	M-Donepezil 5mg Tab	MAT	0.4586	0.4586	YES	YES	NO
02467461	DONEPEZIL HCL	M-Donepezil 10mg Tab	MAT	0.4586	0.4586	YES	YES	NO
02473216	DULOXETINE	M-Duloxetine 60mg DR Cap	MAT	0.9769	0.9769	YES	NO	NO
02473208	DULOXETINE	M-Duloxetine 30mg DR Cap	MAT	0.4814	0.4814	YES	NO	NO
02471426	ESCITALOPRAM	M-Escitalopram 20mg Tab	MAT	0.3310	0.3310	YES	NO	NO
02471418	ESCITALOPRAM	M-Escitalopram 10mg Tab	MAT	0.3109	0.3109	YES	NO	NO
02467437	EZETIMIBE	M-Ezetimibe 10mg Tab	MAT	0.1811	0.1811	YES	YES	NO
02513285	LATANOPROST	M-Latanoprost 0.005% Oph Sol-2.5mL Pk	MAT	9.5830	9.5830	YES	YES	NO
02514516	LATANOPROST & TIMOLOL MALEATE	M-Latanoprost-Timolol 50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk	MAT	11.0670	11.0670	YES	YES	NO
02519755	METRONIDAZOLE	M-Metronidazole 500mg Cap	MAT	0.2739	0.2739	YES	NO	NO
02488183	MONTELUKAST SODIUM	M-Montelukast (Off-Formulary Interchangeable) 10mg Tab	MAT	1.7735	1.7735	YES	NO	NO
02472791	MOXIFLOXACIN HYDROCHLORIDE	M-Moxifloxacin 400mg Tab	MAT	1.5230	1.5230	YES	NO	NO
02467372	PANTOPRAZOLE SODIUM	M-Pantoprazole 40mg Ent Tab	MAT	0.2016	0.2016	YES	YES	NO
02467429	PAROXETINE HCL	M-Paroxetine 30mg Tab	MAT	0.3453	0.3453	YES	NO	NO
02467410	PAROXETINE HCL	M-Paroxetine 20mg Tab	MAT	0.3250	0.3250	YES	NO	NO
02467402	PAROXETINE HCL	M-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	MAT	1.0430	N/A	YES	NO	NO
02482940	PERINDOPRIL ERBUMINE	M-Perindopril Erbumine 8mg Tab	MAT	0.2831	0.2831	YES	NO	NO
02482932	PERINDOPRIL ERBUMINE	M-Perindopril Erbumine 4mg Tab	MAT	0.2042	0.2042	YES	NO	NO
02482924	PERINDOPRIL ERBUMINE	M-Perindopril Erbumine 2mg Tab	MAT	0.1632	0.1632	YES	NO	NO
02496119	PILOCARPINE HCL	M-Pilocarpine (Off-Formulary Interchangeable) 5mg Tab	MAT	1.1708	1.1708	YES	NO	NO
02476274	PRAVASTATIN SODIUM	M-Pravastatin 10mg Tab	MAT	0.2916	0.2916	YES	NO	NO
02476290	PRAVASTATIN SODIUM	M-Pravastatin 40mg Tab	MAT	0.4143	0.4143	YES	NO	NO
02476282	PRAVASTATIN SODIUM	M-Pravastatin 20mg Tab	MAT	0.3440	0.3440	YES	NO	NO
02467291	PREGABALIN	M-Pregabalin 25mg Cap	MAT	0.1481	0.1481	YES	NO	NO
02467313	PREGABALIN	M-Pregabalin 75mg Cap	MAT	0.3007	0.3007	YES	NO	NO
02467305	PREGABALIN	M-Pregabalin 50mg Cap	MAT	0.2324	0.2324	YES	NO	NO
02467321	PREGABALIN	M-Pregabalin 150mg Cap	MAT	0.4145	0.4145	YES	NO	NO
02496542	ROSUVASTATIN CALCIUM	M-Rosuvastatin 10mg Tab	MAT	0.1354	0.1354	YES	NO	NO
02496550	ROSUVASTATIN CALCIUM	M-Rosuvastatin 20mg Tab	MAT	0.1692	0.1692	YES	NO	NO
02496534	ROSUVASTATIN CALCIUM	M-Rosuvastatin 5mg Tab	MAT	0.1284	0.1284	YES	NO	NO
02496569	ROSUVASTATIN CALCIUM	M-Rosuvastatin 40mg Tab	MAT	0.1990	0.1990	YES	NO	NO
02430037	SILDENAFIL	M-Sildenafil (Off-Formulary Interchangeable) 100mg Tab	MAT	9.2000	N/A	YES	NO	NO
02512130	TADALAFIL	M-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	MAT	12.3575	N/A	YES	NO	NO
02512122	TADALAFIL	M-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	MAT	11.9250	N/A	YES	NO	NO
02512114	TADALAFIL	M-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	MAT	3.6470	N/A	YES	NO	NO
02471302	VENLAFAXINE HCL	M-Venlafaxine XR 150mg ER Cap	MAT	0.1927	0.1927	YES	NO	NO
02471280	VENLAFAXINE HCL	M-Venlafaxine XR 37.5mg ER Cap	MAT	0.0913	0.0913	YES	NO	NO
02471299	VENLAFAXINE HCL	M-Venlafaxine XR 75mg ER Cap	MAT	0.1825	0.1825	YES	NO	NO
02467968	ZOPICLONE	M-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	MAT	0.4685	0.4685	YES	NO	NO
02467941	ZOPICLONE	M-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	MAT	0.2231	0.2231	YES	NO	NO

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