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Products found: 54New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02494132ABIRATERONE ACETATENat-Abiraterone (Off-Formulary Interchangeable) 250mg TabNAT26.031326.0313YESNONO
02417650ALPRAZOLAMNat-Alprazolam (Off-Formulary Interchangeable) 1mg TabNAT0.3099N/AYESNONO
02417634ALPRAZOLAMNat-Alprazolam 0.25mg TabNAT0.06330.0633YESNONO
02417642ALPRAZOLAMNat-Alprazolam 0.5mg TabNAT0.07570.0757YESNONO
02417669ALPRAZOLAMNat-Alprazolam (Off-Formulary Interchangeable) 2mg TabNAT0.5508N/AYESNONO
02417855ANASTROZOLENat-Anastrozole 1mg TabNAT0.95220.9522YESNONO
02467992BOSENTAN MONOHYDRATENat-Bosentan (Off-Formulary Interchangeable) 125mg TabNAT32.089332.0893YESNONO
02467984BOSENTAN MONOHYDRATENat-Bosentan (Off-Formulary Interchangeable) 62.5mg TabNAT32.089332.0893YESNONO
02496488CETIRIZINE HYDROCHLORIDENat-Cetirizine (Off-Formulary Interchangeable) 20mg TabNAT0.7535N/AYESNONO
02496461CETIRIZINE HYDROCHLORIDENat-Cetirizine (Off-Formulary Interchangeable) 10mg TabNAT0.4083N/AYESNONO
02409038CITALOPRAM HYDROBROMIDENat-Citalopram 40mg TabNAT0.13320.1332YESNONO
02409011CITALOPRAM HYDROBROMIDENat-Citalopram 20mg TabNAT0.13320.1332YESNONO
02439565DONEPEZIL HCLNat-Donepezil 10mg TabNAT0.45860.4586YESYESNO
02439557DONEPEZIL HCLNat-Donepezil 5mg TabNAT0.45860.4586YESYESNO
02483912ERLOTINIBNat-Erlotinib (Off-Formulary Interchangeable) 25mg TabNAT11.866711.8667YESNONO
02483939ERLOTINIBNat-Erlotinib (Off-Formulary Interchangeable) 150mg TabNAT71.200071.2000YESNONO
02483920ERLOTINIBNat-Erlotinib (Off-Formulary Interchangeable) 100mg TabNAT47.466747.4667YESNONO
02440318ESCITALOPRAMNat-Escitalopram 20mg TabNAT0.33100.3310YESNONO
02440296ESCITALOPRAMNat-Escitalopram 10mg TabNAT0.31090.3109YESNONO
02491796GEFITINIBNat-Gefitinib (Off-Formulary Interchangeable) 250mg TabNAT62.305062.3050YESNONO
02452359GRANISETRON HCLNat-Granisetron 1mg TabNAT4.50004.5000YESYESNO
02397293IMATINIB MESYLATENat-Imatinib 400mg TabNAT20.831420.8314YESNOYES
02397285IMATINIB MESYLATENat-Imatinib 100mg TabNAT5.20795.2079YESNOYES
02498766LANTHANUMNat-Lanthanum (Off-Formulary Interchangeable) 750mg Chew TabNAT3.07863.0786YESNONO
02498731LANTHANUMNat-Lanthanum (Off-Formulary Interchangeable) 250mg Chew TabNAT1.02291.0229YESNONO
02498758LANTHANUMNat-Lanthanum (Off-Formulary Interchangeable) 500mg Chew TabNAT2.04592.0459YESNONO
02498774LANTHANUMNat-Lanthanum (Off-Formulary Interchangeable) 1000mg Chew TabNAT4.08154.0815YESNONO
02421585LETROZOLENat-Letrozole 2.5mg TabNAT1.37801.3780YESNONO
02440229LEVETIRACETAMNat-Levetiracetam 750mg TabNAT0.54160.5416YESYESNO
02440210LEVETIRACETAMNat-Levetiracetam 500mg TabNAT0.39110.3911YESYESNO
02440202LEVETIRACETAMNat-Levetiracetam 250mg TabNAT0.32100.3210YESYESNO
02439549OMEPRAZOLENat-Omeprazole DR Tab 20mgNAT0.22870.2287YESYESNO
09857536OMEPRAZOLE MAGNESIUMNat-Omeprazole DR Tab 20mgNAT0.22870.2287YESYESNO
02417847ONDANSETRON HYDROCHLORIDENat-Ondansetron 8mg TabNAT5.11103.8840YESYESNO
02417839ONDANSETRON HYDROCHLORIDENat-Ondansetron 4mg TabNAT3.34952.5450YESYESNO
02472635OSELTAMIVIR PHOSPHATENat-Oseltamivir 30mg CapNAT0.52430.5243YESYESNO
02472643OSELTAMIVIR PHOSPHATENat-Oseltamivir 45mg CapNAT0.80680.8068YESYESNO
02457989OSELTAMIVIR PHOSPHATENat-Oseltamivir 75mg CapNAT1.03931.0393YESYESNO
02499894OSELTAMIVIR PHOSPHATENat-Oseltamivir (Off-Formulary Interchangeable) 6mg/mL O/LNAT0.2811N/AYESNONO
02494841PREGABALINNat-Pregabalin 25mg CapNAT0.14810.1481YESNONO
02494876PREGABALINNat-Pregabalin 75mg CapNAT0.30070.3007YESNONO
02494884PREGABALINNat-Pregabalin 150mg CapNAT0.41450.4145YESNONO
02494868PREGABALINNat-Pregabalin 50mg CapNAT0.23240.2324YESNONO
02494906PREGABALINNat-Pregabalin 300mg CapNAT0.41450.4145YESNONO
02494892PREGABALINNat-Pregabalin (Off-Formulary Interchangeable) 225mg CapNAT1.7270N/AYESNONO
02439182QUETIAPINENat-Quetiapine 200mg TabNAT0.26470.2647YESNONO
02439190QUETIAPINENat-Quetiapine 300mg TabNAT0.38630.3863YESNONO
02439174QUETIAPINENat-Quetiapine (Off-Formulary Interchangeable) 150mg TabNAT1.6222N/AYESNONO
02439158QUETIAPINENat-Quetiapine 25mg TabNAT0.04940.0494YESNONO
02439166QUETIAPINENat-Quetiapine 100mg TabNAT0.13180.1318YESNONO
02436612RIZATRIPTANNat-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating TabNAT11.165011.1650YESNONO
02436604RIZATRIPTANNat-Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating TabNAT11.165011.1650YESNONO
02472511TENOFOVIR DISOPROXILNat-Tenofovir 300mg TabNAT4.88844.8884YESYESNO
02421534ZOLMITRIPTANNat-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg TabNAT6.86336.8633YESNONO