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Products found: 126New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02450682ABACAVIR SULFATE & LAMIVUDINEMylan-Abacavir-Lamivudine 600mg & 300mg TabMYL5.98755.9875YESNOYES
02293269ACAMPROSATE CALCIUMCampral 333mg DR TabMYL0.87360.8736NOYESNO
02242464ACYCLOVIRMylan-Acyclovir 800mg TabMYL1.26731.2673YESNONO
02242463ACYCLOVIRMylan-Acyclovir 400mg TabMYL1.27001.2700YESNONO
02242784ACYCLOVIRMylan-Acyclovir 200mg TabMYL0.63970.6397YESNONO
02398443ALMOTRIPTANMylan-Almotriptan (Off-Formulary Interchangeable) 12.5mg TabMYL9.78339.7833YESNONO
02398435ALMOTRIPTANMylan-Almotriptan (Off-Formulary Interchangeable) 6.25mg TabMYL9.78339.7833YESNONO
02272113AMLODIPINEMylan-Amlodipine 5mg TabMYL0.13430.1343YESNONO
02272121AMLODIPINEMylan-Amlodipine 10mg TabMYL0.19930.1993YESNONO
02456893ATAZANAVIR SULFATEMylan-Atazanavir (Off-Formulary Interchangeable) 300mg CapMYL19.0681N/AYESNONO
02456877ATAZANAVIR SULFATEMylan-Atazanavir 150mg CapMYL5.67715.6771YESNOYES
02456885ATAZANAVIR SULFATEMylan-Atazanavir 200mg CapMYL5.71045.7104YESNOYES
02392933ATORVASTATIN CALCIUMMylan-Atorvastatin 10mg TabMYL0.17430.1743YESNONO
02392941ATORVASTATIN CALCIUMMylan-Atorvastatin 20mg TabMYL0.21790.2179YESNONO
02392976ATORVASTATIN CALCIUMMylan-Atorvastatin 80mg TabMYL0.23420.2342YESNONO
02392968ATORVASTATIN CALCIUMMylan-Atorvastatin 40mg TabMYL0.23420.2342YESNONO
02402165ATOVAQUONE & PROGUANIL HCLMylan-Atovaquone/Proguanil (Off-Formulary Interchangeable) 250mg & 100mg TabMYL4.13084.1308YESNONO
02088398BACLOFENMylan-Baclofen 10mg TabMYL0.15950.1595YESNOYES
02088401BACLOFENMylan-Baclofen 20mg TabMYL0.31040.3104YESNOYES
02172712BECLOMETHASONE DIPROPIONATEMylan-Beclo AQ 50mcg Nas-Sp-200 Dose PkMYL12.260012.2600YESNOYES
02230648BUDESONIDEMylan-Budesonide AQ 100mcg/Metered Dose Nas Sp-165 Dose PkMYL12.740012.7400YESNOYES
02382075BUPROPION HCLMylan-Bupropion XL 150mg ER TabMYL0.14630.1463YESYESNO
02382083BUPROPION HCLMylan-Bupropion XL 300mg ER TabMYL0.29270.2927YESYESNO
02283794CILAZAPRILMylan-Cilazapril 5mg TabMYL0.49890.4989YESNONO
02283786CILAZAPRILMylan-Cilazapril 2.5mg TabMYL0.42950.4295YESNONO
02283778CILAZAPRILMylan-Cilazapril 1mg TabMYL0.31150.3115YESNONO
02434547CINACALCETMylan-Cinacalcet (Off-Formulary Interchangeable) 60mg TabMYL18.590018.5900YESNONO
02434555CINACALCETMylan-Cinacalcet (Off-Formulary Interchangeable) 90mg TabMYL27.051727.0517YESNONO
02434539CINACALCETMylan-Cinacalcet (Off-Formulary Interchangeable) 30mg TabMYL10.194710.1947YESNONO
02024187CLOBETASOL PROPIONATEMylan-Clobetasol 0.05% CrMYL0.22790.2279YESNOYES
02026767CLOBETASOL PROPIONATEMylan-Clobetasol 0.05% OintMYL0.22790.2279YESNOYES
02216213CLOBETASOL PROPIONATEMylan-Clobetasol Scalp Application 0.05% Scalp LotMYL0.19900.1990YESNOYES
02247243CLOZAPINEGen-Clozapine (Off-Formulary Interchangeable) 25mg TabMYL0.6594N/AYESNONO
02247244CLOZAPINEGen-Clozapine (Off-Formulary Interchangeable) 100mg TabMYL2.6446N/AYESNONO
02413795CYANOCOBALAMINCyanocobalamin Injection USP 1mg/mL Inj Sol-10mL PkMYL3.06003.0600YESNONO
02459019DIVALPROEX SODIUMMylan-Divalproex 500mg Ent TabMYL0.26040.2604YESNONO
02458926DIVALPROEX SODIUMMylan-Divalproex 125mg Ent TabMYL0.07240.0724YESNONO
02458934DIVALPROEX SODIUMMylan-Divalproex 250mg Ent TabMYL0.13010.1301YESNONO
02381524EFAVIRENZMylan-Efavirenz 600mg TabMYL3.80303.8030YESNOYES
02461412EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINEMylan-Efavirenz/Emtricitabine/Tenofovir 600mg/300mg/200mg TabMYL11.330011.3300YESNOYES
02443902EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATEMylan-Emtricitabine/Tenofovir Disoproxil 200mg & 300mg TabMYL7.30357.3035YESNOYES
02300044ENALAPRIL MALEATEMylan-Enalapril 5mg TabMYL0.22030.2203YESNOYES
02300052ENALAPRIL MALEATEMylan-Enalapril 10mg TabMYL0.26470.2647YESNOYES
02300060ENALAPRIL MALEATEMylan-Enalapril 20mg TabMYL0.31950.3195YESNOYES
02300036ENALAPRIL MALEATEMylan-Enalapril 2.5mg TabMYL0.18630.1863YESNOYES
02309475ESCITALOPRAMMylan-Escitalopram 20mg TabMYL0.33100.3310YESNONO
02309467ESCITALOPRAMMylan-Escitalopram 10mg TabMYL0.31090.3109YESNONO
02479427ESOMEPRAZOLEMyl-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mgMYL1.8690N/AYESNONO
02383047ESOMEPRAZOLEMylan-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mgMYL1.8690N/AYESNONO
02479419ESOMEPRAZOLEMyl-Esomeprazole (Off-Formulary Interchangeable) 20mg DR TabMYL1.8690N/AYESNONO
02383039ESOMEPRAZOLEMylan-Esomeprazole (Off-Formulary Interchangeable) 20mg DR TabMYL1.8690N/AYESNONO
02398869ETHINYL ESTRADIOL & LEVONORGESTRELIndayo (Off-Formulary Interchangeable) 0.03mg & 0.15mg Tab-91 PkMYL45.9550N/AYESNONO
02469715FINGOLIMODMylan-Fingolimod (Off-Formulary Interchangeable) 0.5mg CapMYL73.909673.9096YESNONO
02245293FLUCONAZOLEMylan-Fluconazole 100mg TabMYL2.28912.2891YESNONO
02245292FLUCONAZOLEMylan-Fluconazole 50mg TabMYL1.29041.2904YESNONO
02339455GALANTAMINE HYDROBROMIDEMylan-Galantamine ER 24mg ER CapMYL1.24651.2465YESYESNO
02339447GALANTAMINE HYDROBROMIDEMylan-Galantamine ER 16mg ER CapMYL1.24651.2465YESYESNO
02339439GALANTAMINE HYDROBROMIDEMylan-Galantamine ER 8mg ER CapMYL1.24651.2465YESYESNO
02438658GLICLAZIDEMylan-Gliclazide MR 30mg SR TabMYL0.09310.0931YESNONO
02252600HYDROXYCHLOROQUINE SULFATEMylan-Hydroxychloroquine 200mg TabMYL0.15760.1576YESNONO
02242920HYDROXYUREAMylan-Hydroxyurea 500mg CapMYL1.02031.0203YESNONO
02153483INDAPAMIDEMylan-Indapamide 2.5mg TabMYL0.23640.2364YESNONO
02240067INDAPAMIDEMylan-Indapamide 1.25mg TabMYL0.07450.0745YESNONO
02257963ISOTRETINOINClarus 40mg CapMYL1.90031.9003YESNOYES
02257955ISOTRETINOINClarus 10mg CapMYL0.93130.9313YESNOYES
02265516LAMOTRIGINEMylan-Lamotrigine 150mg TabMYL0.41070.4107YESNONO
02265508LAMOTRIGINEMylan-Lamotrigine 100mg TabMYL0.27870.2787YESNONO
02265494LAMOTRIGINEMylan-Lamotrigine 25mg TabMYL0.06980.0698YESNONO
02353849LANSOPRAZOLEMylan-Lansoprazole 30mg DR CapMYL0.50000.5000YESYESNO
02353830LANSOPRAZOLEMylan-Lansoprazole 15mg DR CapMYL0.50000.5000YESYESNO
02425009LEVONORGESTRELContingency One 1.5mg Tab-1 Tab PkMYL8.60008.6000YESNONO
02256118MIRTAZAPINEMylan-Mirtazapine 30mg TabMYL0.31000.3100YESNONO
02458608NAPROXEN & ESOMEPRAZOLE MAGNESIUMMylan-Naproxen & Esomeprazole MR (Off-Formulary Interchangeable) 375mg & 20mg MR TabMYL0.9308N/AYESNOYES
02443449NAPROXEN & ESOMEPRAZOLE MAGNESIUMMylan-Naproxen & Esomeprazole MR (Off-Formulary Interchangeable) 500mg & 20mg MR TabMYL0.9274N/AYESNOYES
02387727NEVIRAPINEMylan-Nevirapine 200mg TabMYL1.23461.2346YESNOYES
02321149NIFEDIPINEMylan-Nifedipine Extended Release 60mg ER TabMYL0.93740.9374YESNONO
02349167NIFEDIPINEMylan-Nifedipine Extended Release 30mg ER TabMYL0.61710.6171YESNONO
02243588NITROGLYCERINMylan-Nitro Sublingual Spray 0.4mg/Metered Dose Spray-200 Dose PkMYL8.46008.4600YESNONO
02407442NITROGLYCERINMylan-Nitro 0.2 (Off-Formulary Interchangeable) 0.2mg/Hr Transdermal PatchMYL0.4463N/AYESNONO
02407450NITROGLYCERINMylan-Nitro 0.4 0.4mg/Hr Transdermal PatchMYL0.50400.5040YESNONO
02407469NITROGLYCERINMylan-Nitro 0.6 0.6mg/Hr Transdermal PatchMYL0.50400.5040YESNONO
02407477NITROGLYCERINMylan-Nitro 0.8 (Off-Formulary Interchangeable) 0.8mg/Hr Transdermal PatchMYL0.8743N/AYESNONO
02410303NORETHINDRONEMovisse 0.35mg Tab-28 PkMYL10.990010.9900YESNONO
02297868ONDANSETRON HYDROCHLORIDEMylan-Ondansetron 4mg TabMYL3.34953.2720YESYESNO
02297876ONDANSETRON HYDROCHLORIDEMylan-Ondansetron 8mg TabMYL5.11104.9930YESYESNO
02408570PANTOPRAZOLE MAGNESIUMMylan-Pantoprazole T 40mg Ent Coated TabMYL0.18750.1875YESNONO
02391538PIPERACILLIN SODIUM & TAZOBACTAM SODIUMPiperacillin & Tazobactam for Injection (Off-Formulary Interchangeable) 3g & 375mg Inj Pd-3.375g Vial PkMYL15.200015.2000YESNONO
02457172PROPAFENONE HCLMylan-Propafenone 150mg TabMYL0.29660.2966YESNONO
02457164PROPAFENONE HCLMylan-Propafenone 300mg TabMYL0.52270.5227YESNONO
02390299RILUZOLEMylan-Riluzole (Off-Formulary Interchangeable) 50mg TabMYL7.36307.3630YESNONO
02413507RISPERIDONEMylan-Risperidone ODT 2mg Orally Disintegrating TabMYL1.01881.0188YESNONO
02413485RISPERIDONEMylan-Risperidone ODT 0.5mg Orally Disintegrating TabMYL0.55880.5588YESNONO
02413493RISPERIDONEMylan-Risperidone ODT 1mg Orally Disintegrating TabMYL0.51500.5150YESNONO
02413515RISPERIDONEMylan-Risperidone ODT 3mg Orally Disintegrating TabMYL1.52751.5275YESNONO
02413523RISPERIDONEMylan-Risperidone ODT 4mg Orally Disintegrating TabMYL2.04252.0425YESNONO
02423421RIVASTIGMINEMylan-Rivastigmine Patch 10 (Off-Formulary Interchangeable) 18mg/10 Sq Cm Trans PatchMYL3.9773N/AYESNONO
02423413RIVASTIGMINEMylan-Rivastigmine Patch 5 (Off-Formulary Interchangeable) 9mg/5 Sq Cm Trans PatchMYL3.9773N/AYESNONO
02379198RIZATRIPTANMylan-Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating TabMYL11.115011.1150YESNONO
02379201RIZATRIPTANMylan-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating TabMYL11.115011.1150YESNONO
02495619SALMETEROL XINAFOATE & FLUTICASONE PROPIONATEWixela Inhub 50/500mcg Inh-60 Dose PkMYL72.060072.0600YESYESNO
02495600SALMETEROL XINAFOATE & FLUTICASONE PROPIONATEWixela Inhub 50/250mcg Inh-60 Dose PkMYL50.760050.7600YESYESNO
02495597SALMETEROL XINAFOATE & FLUTICASONE PROPIONATEWixela Inhub 50/100mcg Inh-60 Dose PkMYL42.405042.4050YESYESNO
02268922SUMATRIPTAN SUCCINATEMylan-Sumatriptan (Off-Formulary Interchangeable) 100mg TabMYL9.98679.9867YESNONO
02268914SUMATRIPTAN SUCCINATEMylan-Sumatriptan (Off-Formulary Interchangeable) 50mg TabMYL9.06509.0650YESNONO
02268906SUMATRIPTAN SUCCINATEMylan-Sumatriptan (Off-Formulary Interchangeable) 25mg TabMYL8.99008.9900YESNONO
02410656TADALAFILMylan-Tadalafil (Off-Formulary Interchangeable) 10mg TabMYL11.9255N/AYESNONO
02410664TADALAFILMylan-Tadalafil (Off-Formulary Interchangeable) 20mg TabMYL12.3569N/AYESNONO
02410621TADALAFILMylan-Tadalafil (Off-Formulary Interchangeable) 2.5mg TabMYL3.6471N/AYESNONO
02410648TADALAFILMylan-Tadalafil (Off-Formulary Interchangeable) 5mg TabMYL3.6471N/AYESNONO
02452634TENOFOVIR DISOPROXILMylan-Tenofovir Disoproxil 300mg TabMYL4.88844.8884YESYESNO
02404192TOLTERODINE L-TARTRATEMylan-Tolterodine ER 4mg SR CapMYL0.49110.4911YESYESNO
02404184TOLTERODINE L-TARTRATEMylan-Tolterodine ER 2mg SR CapMYL0.49110.4911YESYESNO
02263386TOPIRAMATEMylan-Topiramate 200mg TabMYL0.67480.6748YESNONO
02263351TOPIRAMATEMylan-Topiramate 25mg TabMYL0.24330.2433YESNONO
02263378TOPIRAMATEMylan-Topiramate 100mg TabMYL0.45830.4583YESNONO
02231684TRAZODONE HYDROCHLORIDEMylan-Trazodone 100mg TabMYL0.39560.0989YESNONO
02351560VALACYCLOVIRMylan-Valacyclovir (Off-Formulary Interchangeable) 1000mg TabMYL5.8537N/AYESNONO
02351579VALACYCLOVIRMylan-Valacyclovir 500mg TabMYL0.61980.6198YESNONO
02464209VARDENAFIL HCLMylan-Vardenafil (Off-Formulary Interchangeable) 5mg TabMYL9.3203N/AYESNONO
02464233VARDENAFIL HCLMylan-Vardenafil (Off-Formulary Interchangeable) 20mg TabMYL11.6811N/AYESNONO
02464225VARDENAFIL HCLMylan-Vardenafil (Off-Formulary Interchangeable) 10mg TabMYL10.3976N/AYESNONO
02450488VERAPAMIL HCLMylan-Verapamil SR 180mg LA TabMYL0.52040.5204YESNONO
02450496VERAPAMIL HCLMylan-Verapamil SR 240mg LA TabMYL0.50750.5075YESNONO
02210347VERAPAMIL HCLMylan-Verapamil SR (Off-Formulary Interchangeable) 120mg LA TabMYL0.6900N/AYESNONO
02237922VERAPAMIL HCLMylan-Verapamil 120mg TabMYL0.42500.4250YESNONO
02237921VERAPAMIL HCLMylan-Verapamil 80mg TabMYL0.27350.2735YESNONO