Search Results

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Products found: 15

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
00663697	CEFOXITIN SODIUM	Mefoxin (Off-Formulary Interchangeable) 1g/Vial Inj Pd-Vial Pk	MSD	N/A	N/A	YES	NO	NO
00663700	CEFOXITIN SODIUM	Mefoxin (Off-Formulary Interchangeable) 2g/Vial Inj Pd-Vial Pk	MSD	N/A	N/A	YES	NO	NO
00354309	DEXAMETHASONE	Decadron (Not a Benefit) 4mg Tab	MSD	N/A	N/A	YES	NO	NO
00016462	DEXAMETHASONE	Decadron (Not a Benefit) 0.5mg Tab	MSD	N/A	N/A	YES	NO	NO
00213624	DEXAMETHASONE 21-PHOSPHATE	Decadron (Not a Benefit) 4mg/mL Inj Sol	MSD	N/A	N/A	YES	NO	NO
00016500	HYDROCHLOROTHIAZIDE	HydroDIURIL (Not a Benefit) 25mg Tab	MSD	N/A	N/A	YES	NO	NO
00016519	HYDROCHLOROTHIAZIDE	HydroDIURIL (Not a Benefit) 50mg Tab	MSD	N/A	N/A	YES	NO	NO
00016047	INDOMETHACIN	Indocid (Not a Benefit) 50mg Cap	MSD	N/A	N/A	YES	NO	YES
00016039	INDOMETHACIN	Indocid (Not a Benefit) 25mg Cap	MSD	N/A	N/A	YES	NO	YES
00594466	INDOMETHACIN	Indocid (Not a Benefit) 50mg Sup	MSD	N/A	N/A	YES	NO	YES
00016233	INDOMETHACIN	Indocid (Not a Benefit) 100mg Sup	MSD	N/A	N/A	YES	NO	YES
00016578	METHYLDOPA	Aldomet (Not a Benefit) 250mg Tab	MSD	N/A	N/A	YES	NO	NO
00016551	METHYLDOPA	Aldomet (Not a Benefit) 125mg Tab	MSD	N/A	N/A	YES	NO	NO
00016586	METHYLDOPA	Aldomet (Not a Benefit) 500mg Tab	MSD	N/A	N/A	YES	NO	NO
00643025	NORFLOXACIN	Noroxin (Not a Benefit) 400mg Tab	MSD	N/A	N/A	YES	NO	NO