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Products found: 15New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
00663700CEFOXITIN SODIUMMefoxin (Off-Formulary Interchangeable) 2g/Vial Inj Pd-Vial PkMSDN/AN/AYESNONO
00663697CEFOXITIN SODIUMMefoxin (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial PkMSDN/AN/AYESNONO
00354309DEXAMETHASONEDecadron (Not a Benefit) 4mg TabMSDN/AN/AYESNONO
00016462DEXAMETHASONEDecadron (Not a Benefit) 0.5mg TabMSDN/AN/AYESNONO
00213624DEXAMETHASONE 21-PHOSPHATEDecadron (Not a Benefit) 4mg/mL Inj SolMSDN/AN/AYESNONO
00016500HYDROCHLOROTHIAZIDEHydroDIURIL (Not a Benefit) 25mg TabMSDN/AN/AYESNONO
00016519HYDROCHLOROTHIAZIDEHydroDIURIL (Not a Benefit) 50mg TabMSDN/AN/AYESNONO
00016047INDOMETHACINIndocid (Not a Benefit) 50mg CapMSDN/AN/AYESNOYES
00016039INDOMETHACINIndocid (Not a Benefit) 25mg CapMSDN/AN/AYESNOYES
00016233INDOMETHACINIndocid (Not a Benefit) 100mg SupMSDN/AN/AYESNOYES
00594466INDOMETHACINIndocid (Not a Benefit) 50mg SupMSDN/AN/AYESNOYES
00016586METHYLDOPAAldomet (Not a Benefit) 500mg TabMSDN/AN/AYESNONO
00016578METHYLDOPAAldomet (Not a Benefit) 250mg TabMSDN/AN/AYESNONO
00016551METHYLDOPAAldomet (Not a Benefit) 125mg TabMSDN/AN/AYESNONO
00643025NORFLOXACINNoroxin (Not a Benefit) 400mg TabMSDN/AN/AYESNONO