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Products found: 76

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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
02494132	ABIRATERONE ACETATE	Nat-Abiraterone (Off-Formulary Interchangeable) 250mg Tab	NAT	26.0313	26.0313	YES	NO	NO
02417650	ALPRAZOLAM	Nat-Alprazolam (Off-Formulary Interchangeable) 1mg Tab	NAT	0.3099	N/A	YES	NO	NO
02417669	ALPRAZOLAM	Nat-Alprazolam (Off-Formulary Interchangeable) 2mg Tab	NAT	0.5508	N/A	YES	NO	NO
02417634	ALPRAZOLAM	Nat-Alprazolam 0.25mg Tab	NAT	0.0633	0.0633	YES	NO	NO
02417642	ALPRAZOLAM	Nat-Alprazolam 0.5mg Tab	NAT	0.0757	0.0757	YES	NO	NO
02417855	ANASTROZOLE	Nat-Anastrozole 1mg Tab	NAT	0.9522	0.9522	YES	NO	NO
09858174	APIXABAN	Nat-Apixaban 2.5mg Tab	NAT	0.4084	0.4084	YES	YES	NO
02492814	APIXABAN	Nat-Apixaban 2.5mg Tab	NAT	0.4084	0.4084	YES	YES	NO
02492822	APIXABAN	Nat-Apixaban 5mg Tab	NAT	0.4084	0.4084	YES	YES	NO
02467984	BOSENTAN MONOHYDRATE	Nat-Bosentan (Off-Formulary Interchangeable) 62.5mg Tab	NAT	32.0893	32.0893	YES	NO	NO
02467992	BOSENTAN MONOHYDRATE	Nat-Bosentan (Off-Formulary Interchangeable) 125mg Tab	NAT	32.0893	32.0893	YES	NO	NO
02496461	CETIRIZINE HYDROCHLORIDE	Nat-Cetirizine (Off-Formulary Interchangeable) 10mg Tab	NAT	0.4083	N/A	YES	NO	NO
02496488	CETIRIZINE HYDROCHLORIDE	Nat-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	NAT	0.7535	N/A	YES	NO	NO
02409038	CITALOPRAM HYDROBROMIDE	Nat-Citalopram 40mg Tab	NAT	0.1332	0.1332	YES	NO	NO
02409011	CITALOPRAM HYDROBROMIDE	Nat-Citalopram 20mg Tab	NAT	0.1332	0.1332	YES	NO	NO
02443880	CITALOPRAM HYDROBROMIDE	Natco-Citalopram 20mg Tab	NAT	0.1332	0.1332	YES	NO	NO
02443899	CITALOPRAM HYDROBROMIDE	Natco-Citalopram 40mg Tab	NAT	0.1332	0.1332	YES	NO	NO
02439565	DONEPEZIL HCL	Nat-Donepezil 10mg Tab	NAT	0.4586	0.4586	YES	YES	NO
02439557	DONEPEZIL HCL	Nat-Donepezil 5mg Tab	NAT	0.4586	0.4586	YES	YES	NO
02483939	ERLOTINIB	Nat-Erlotinib (Off-Formulary Interchangeable) 150mg Tab	NAT	71.2000	71.2000	YES	NO	NO
02483912	ERLOTINIB	Nat-Erlotinib (Off-Formulary Interchangeable) 25mg Tab	NAT	11.8667	11.8667	YES	NO	NO
02483920	ERLOTINIB	Nat-Erlotinib (Off-Formulary Interchangeable) 100mg Tab	NAT	47.4667	47.4667	YES	NO	NO
02440318	ESCITALOPRAM	Nat-Escitalopram 20mg Tab	NAT	0.3310	0.3310	YES	NO	NO
02440296	ESCITALOPRAM	Nat-Escitalopram 10mg Tab	NAT	0.3109	0.3109	YES	NO	NO
02530104	EVEROLIMUS	Nat-Everolimus (Off-Formulary Interchangeable) 5mg Tab	NAT	172.2559	172.2559	YES	NO	NO
02530090	EVEROLIMUS	Nat-Everolimus (Off-Formulary Interchangeable) 2.5mg Tab	NAT	172.2559	172.2559	YES	NO	NO
02530120	EVEROLIMUS	Nat-Everolimus (Off-Formulary Interchangeable) 10mg Tab	NAT	172.2559	172.2559	YES	NO	NO
02491796	GEFITINIB	Nat-Gefitinib (Off-Formulary Interchangeable) 250mg Tab	NAT	62.3050	62.3050	YES	NO	NO
02452359	GRANISETRON HCL	Nat-Granisetron 1mg Tab	NAT	4.5000	4.5000	YES	YES	NO
02397293	IMATINIB MESYLATE	Nat-Imatinib 400mg Tab	NAT	20.8314	20.8314	YES	NO	YES
02397285	IMATINIB MESYLATE	Nat-Imatinib 100mg Tab	NAT	5.2079	5.2079	YES	NO	YES
02498731	LANTHANUM	Nat-Lanthanum (Off-Formulary Interchangeable) 250mg Chew Tab	NAT	1.0229	1.0229	YES	NO	NO
02498774	LANTHANUM	Nat-Lanthanum (Off-Formulary Interchangeable) 1000mg Chew Tab	NAT	4.0815	4.0815	YES	NO	NO
02498758	LANTHANUM	Nat-Lanthanum (Off-Formulary Interchangeable) 500mg Chew Tab	NAT	2.0459	2.0459	YES	NO	NO
02498766	LANTHANUM	Nat-Lanthanum (Off-Formulary Interchangeable) 750mg Chew Tab	NAT	3.0786	3.0786	YES	NO	NO
02493918	LENALIDOMIDE	Nat-Lenalidomide 25mg Cap	NAT	106.0000	106.0000	YES	YES	NO
02493845	LENALIDOMIDE	Nat-Lenalidomide 5mg Cap	NAT	85.0000	85.0000	YES	YES	NO
02493861	LENALIDOMIDE	Nat-Lenalidomide 10mg Cap	NAT	90.2500	90.2500	YES	YES	NO
02493837	LENALIDOMIDE	Nat-Lenalidomide 2.5mg Cap	NAT	82.3750	82.3750	YES	YES	NO
02493888	LENALIDOMIDE	Nat-Lenalidomide 15mg Cap	NAT	95.5000	95.5000	YES	YES	NO
02493896	LENALIDOMIDE	Nat-Lenalidomide 20mg Cap	NAT	100.7500	100.7500	YES	YES	NO
02421585	LETROZOLE	Nat-Letrozole 2.5mg Tab	NAT	1.3780	1.3780	YES	NO	NO
02440202	LEVETIRACETAM	Nat-Levetiracetam 250mg Tab	NAT	0.3210	0.3210	YES	YES	NO
02440210	LEVETIRACETAM	Nat-Levetiracetam 500mg Tab	NAT	0.3911	0.3911	YES	YES	NO
02440229	LEVETIRACETAM	Nat-Levetiracetam 750mg Tab	NAT	0.5416	0.5416	YES	YES	NO
02522101	MONTELUKAST SODIUM	Nat-Montelukast 4mg Chew Tab	NAT	0.2758	0.2758	YES	YES	NO
02522128	MONTELUKAST SODIUM	Nat-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	NAT	1.2077	1.2077	YES	NO	NO
02522136	MONTELUKAST SODIUM	Nat-Montelukast (Off-Formulary Interchangeable) 10mg Tab	NAT	1.7737	1.7737	YES	NO	NO
02439549	OMEPRAZOLE	Nat-Omeprazole DR Tab 20mg	NAT	0.2287	0.2287	YES	YES	NO
09857536	OMEPRAZOLE MAGNESIUM	Nat-Omeprazole DR Tab 20mg	NAT	0.2287	0.2287	YES	YES	NO
02417839	ONDANSETRON HYDROCHLORIDE	Nat-Ondansetron 4mg Tab	NAT	3.3495	2.5450	YES	YES	NO
02417847	ONDANSETRON HYDROCHLORIDE	Nat-Ondansetron 8mg Tab	NAT	5.1110	3.8840	YES	YES	NO
02472643	OSELTAMIVIR PHOSPHATE	Nat-Oseltamivir 45mg Cap	NAT	1.6135	1.6135	YES	YES	NO
02472635	OSELTAMIVIR PHOSPHATE	Nat-Oseltamivir 30mg Cap	NAT	0.5243	0.5243	YES	YES	NO
02457989	OSELTAMIVIR PHOSPHATE	Nat-Oseltamivir 75mg Cap	NAT	1.0393	1.0393	YES	YES	NO
02499894	OSELTAMIVIR PHOSPHATE	Nat-Oseltamivir (Off-Formulary Interchangeable) 6mg/mL O/L	NAT	0.2811	N/A	YES	NO	NO
02506394	POMALIDOMIDE	Nat-Pomalidomide (Off-Formulary Interchangeable) 1mg Cap	NAT	425.0000	425.0000	YES	NO	NO
02506408	POMALIDOMIDE	Nat-Pomalidomide (Off-Formulary Interchangeable) 2mg Cap	NAT	425.0000	425.0000	YES	NO	NO
02506424	POMALIDOMIDE	Nat-Pomalidomide (Off-Formulary Interchangeable) 4mg Cap	NAT	425.0000	425.0000	YES	NO	NO
02506416	POMALIDOMIDE	Nat-Pomalidomide (Off-Formulary Interchangeable) 3mg Cap	NAT	425.0000	425.0000	YES	NO	NO
02494906	PREGABALIN	Nat-Pregabalin 300mg Cap	NAT	0.4145	0.4145	YES	NO	NO
02494892	PREGABALIN	Nat-Pregabalin (Off-Formulary Interchangeable) 225mg Cap	NAT	1.7270	N/A	YES	NO	NO
02494884	PREGABALIN	Nat-Pregabalin 150mg Cap	NAT	0.4145	0.4145	YES	NO	NO
02494876	PREGABALIN	Nat-Pregabalin 75mg Cap	NAT	0.3007	0.3007	YES	NO	NO
02494868	PREGABALIN	Nat-Pregabalin 50mg Cap	NAT	0.2324	0.2324	YES	NO	NO
02494841	PREGABALIN	Nat-Pregabalin 25mg Cap	NAT	0.1481	0.1481	YES	NO	NO
02439190	QUETIAPINE	Nat-Quetiapine 300mg Tab	NAT	0.3863	0.3863	YES	NO	NO
02439158	QUETIAPINE	Nat-Quetiapine 25mg Tab	NAT	0.0494	0.0494	YES	NO	NO
02439174	QUETIAPINE	Nat-Quetiapine (Off-Formulary Interchangeable) 150mg Tab	NAT	1.6222	N/A	YES	NO	NO
02439182	QUETIAPINE	Nat-Quetiapine 200mg Tab	NAT	0.2647	0.2647	YES	NO	NO
02439166	QUETIAPINE	Nat-Quetiapine 100mg Tab	NAT	0.1318	0.1318	YES	NO	NO
02436612	RIZATRIPTAN	Nat-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	NAT	11.1650	11.1650	YES	NO	NO
02436604	RIZATRIPTAN	Nat-Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	NAT	11.1650	11.1650	YES	NO	NO
02472511	TENOFOVIR DISOPROXIL	Nat-Tenofovir 300mg Tab	NAT	4.8884	4.8884	YES	YES	NO
02500310	TERIFLUNOMIDE	Nat-Teriflunomide 14mg Tab	NAT	14.9300	14.9300	YES	YES	NO
02421534	ZOLMITRIPTAN	Nat-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	NAT	6.8633	6.8633	YES	NO	NO

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