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Products found: 25

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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
02201011	ALENDRONATE	Fosamax (Not a Benefit) 10mg Tab	MFC	N/A	N/A	YES	NO	NO
02233055	ALENDRONATE	Fosamax (Off-Formulary Interchangeable) 5mg Tab	MFC	N/A	N/A	YES	NO	NO
00851795	ENALAPRIL MALEATE	Vasotec (Not a Benefit) 2.5mg Tab	MFC	N/A	N/A	YES	NO	YES
02242826	ENALAPRIL MALEATE & HYDROCHLOROTHIAZIDE	Vaseretic (Off-Formulary Interchangeable) 5mg & 12.5mg Tab	MFC	N/A	N/A	YES	NO	NO
02247437	ERTAPENEM	Invanz (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	MFC	N/A	N/A	YES	NO	NO
00710113	FAMOTIDINE	Pepcid (Not a Benefit) 40mg Tab	MFC	N/A	N/A	YES	NO	YES
00710121	FAMOTIDINE	Pepcid (Not a Benefit) 20mg Tab	MFC	N/A	N/A	YES	NO	YES
00870935	LEVODOPA & CARBIDOPA	Sinemet CR (Not a Benefit) 200mg & 50mg CR Tab	MFC	N/A	N/A	YES	NO	NO
02028786	LEVODOPA & CARBIDOPA	Sinemet CR (Not a Benefit) 100mg & 25mg CR Tab	MFC	N/A	N/A	YES	NO	NO
00355658	LEVODOPA & CARBIDOPA	Sinemet (Not a Benefit) 100mg & 10mg Tab	MFC	N/A	N/A	YES	NO	NO
00839396	LISINOPRIL	Prinivil 10mg Tab	MFC	0.9489	0.1716	YES	NO	NO
00839418	LISINOPRIL	Prinivil 20mg Tab	MFC	1.1408	0.2063	YES	NO	NO
00839388	LISINOPRIL	Prinivil (Not a Benefit) 5mg Tab	MFC	N/A	N/A	YES	NO	NO
00884421	LISINOPRIL & HYDROCHLOROTHIAZIDE	Prinzide (Off-Formulary Interchangeable) 20mg/25mg Tab	MFC	N/A	N/A	YES	NO	NO
02108194	LISINOPRIL & HYDROCHLOROTHIAZIDE	Prinzide (Not a Benefit) 10mg & 12.5mg Tab	MFC	N/A	N/A	YES	NO	NO
00884413	LISINOPRIL & HYDROCHLOROTHIAZIDE	Prinzide (Not a Benefit) 20mg & 12.5mg Tab	MFC	N/A	N/A	YES	NO	NO
00795852	LOVASTATIN	Mevacor (Not a Benefit) 40mg Tab	MFC	N/A	N/A	YES	NO	NO
00795860	LOVASTATIN	Mevacor (Not a Benefit) 20mg Tab	MFC	N/A	N/A	YES	NO	NO
02301881	RALTEGRAVIR POTASSIUM	Isentress 400mg Tab	MFC	14.0301	14.0301	NO	NO	NO
02240332	SIMVASTATIN	Zocor (Not a Benefit) 80mg Tab	MFC	N/A	N/A	YES	NO	NO
00884324	SIMVASTATIN	Zocor (Not a Benefit) 5mg Tab	MFC	N/A	N/A	YES	NO	NO
02303922	SITAGLIPTIN	Januvia 100mg Tab	MFC	3.2787	0.8197	YES	NO	YES
02388839	SITAGLIPTIN	Januvia 25mg Tab	MFC	3.2787	0.8197	YES	NO	YES
02388847	SITAGLIPTIN	Januvia 50mg Tab	MFC	3.2787	0.8197	YES	NO	YES
00451193	TIMOLOL MALEATE	Timoptic (Not a Benefit) 0.25% Oph Sol	MFC	N/A	N/A	YES	NO	YES

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