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Products found: 29

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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
02325462	ESTRADIOL 17-B	Vagifem 10 10mcg Vag Tab with Applicator	NOO	4.5394	4.5394	NO	NO	NO
02333627	GLUCAGON RDNA ORIGIN	GlucaGen HypoKit 1mg/Vial Inj Pd-Syr Pk	NOO	108.3300	108.3300	NO	NO	NO
02333619	GLUCAGON RDNA ORIGIN	GlucaGen 1mg/Vial Inj Pd-Vial Pk	NOO	108.3300	108.3300	NO	NO	NO
02024217	INSULIN (30% NEUTRAL & 70% ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge 30/70 1000U/10mL Inj Susp-10mL Pk	NOO	24.9700	24.9700	NO	NO	NO
09853812	INSULIN (30% NEUTRAL & 70% ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge 30/70 Penfill 100U/mL Inj Susp-5x3mL Pk	NOO	47.1800	47.1800	NO	NO	NO
02024314	INSULIN (40% NEUTRAL & 60% ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge 40/60 Penfill 100U/mL Inj Susp-5x3mL Pk	NOO	47.5200	47.5200	NO	NO	NO
02024322	INSULIN (50% NEUTRAL & 50% ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge 50/50 Penfill 100U/mL Inj Susp-5x3mL Pk	NOO	47.5200	47.5200	NO	NO	NO
02024225	INSULIN (ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge NPH 1000U/10mL Inj Susp-10mL Pk	NOO	24.8300	24.8300	NO	NO	NO
09853782	INSULIN (ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge NPH Penfill 100U/mL Inj Susp-5x3mL Pk	NOO	48.8200	48.8200	NO	NO	NO
02245397	INSULIN ASPART	NovoRapid 100U/mL Inj Sol-10mL Pk	NOO	30.1900	30.1900	NO	YES	NO
02244353	INSULIN ASPART	NovoRapid Penfill 100U/mL Inj Sol-5x3mL Pk	NOO	61.2300	61.2300	NO	YES	NO
02377209	INSULIN ASPART	NovoRapid FlexTouch 100U/mL Inj Sol-Prefil 5X3mL Pk Disposable Pen	NOO	63.7500	63.7500	NO	YES	NO
02265435	INSULIN ASPART 30% & INSULIN ASPART PROTAMINE 70%	NovoMix 30 Penfill 100U/mL Inj Susp-5x3mL Pk	NOO	56.1400	56.1400	NO	NO	NO
02467860	INSULIN DEGLUDEC	Tresiba 100U/mL Inj Sol-3X5mL Cart Pk	NOO	111.5000	111.5000	NO	NO	NO
02467887	INSULIN DEGLUDEC	Tresiba 200U/mL Inj Sol-Flextouch Pref Pen 3x3mL Pk	NOO	133.8000	133.8000	NO	NO	NO
02467879	INSULIN DEGLUDEC	Tresiba 100U/mL Inj Sol-Flextouch Pref Pen 5x3mL Pk	NOO	111.5000	111.5000	NO	NO	NO
02271842	INSULIN DETEMIR	Levemir Penfill 100U/mL Inj Sol-5x3mL Pk	NOO	110.4100	110.4100	NO	NO	NO
02412829	INSULIN DETEMIR	Levemir Flextouch 100U/mL Inj Sol-Pref Disp Pen 5X3mL Pk	NOO	111.5000	111.5000	NO	NO	NO
02024233	INSULIN HUMAN BIOSYNTHETIC	Novolin ge Toronto 1000U/10mL Inj Sol-10mL Pk	NOO	24.2800	24.2800	NO	NO	NO
09853774	INSULIN HUMAN BIOSYNTHETIC	Novolin ge Toronto Penfill 100U/mL Inj Sol-5x3mL Pk	NOO	47.6800	47.6800	NO	NO	NO
02239924	REPAGLINIDE	GlucoNorm (Off-Formulary Interchangeable) 0.5mg Tab	NOO	N/A	N/A	YES	NO	NO
02239925	REPAGLINIDE	GlucoNorm (Off-Formulary Interchangeable) 1mg Tab	NOO	N/A	N/A	YES	NO	NO
02239926	REPAGLINIDE	GlucoNorm (Off-Formulary Interchangeable) 2mg Tab	NOO	N/A	N/A	YES	NO	NO
02540258	SEMAGLUTIDE	Ozempic 0.68mg/mL Inj Sol - Pref Pen 3mL Pk	NOO	210.8700	210.8700	NO	YES	NO
02471477	SEMAGLUTIDE	Ozempic 1.34mg/mL Inj Sol-Pref Pen 1.5mL Pk	NOO	210.8700	210.8700	NO	YES	NO
02471469	SEMAGLUTIDE	Ozempic 1.34mg/mL Inj Sol-Pref Pen 3mL Pk	NOO	210.8700	210.8700	NO	YES	NO
02497611	SEMAGLUTIDE	Rybelsus 14mg Tab	NOO	7.2030	7.2030	NO	YES	NO
02497581	SEMAGLUTIDE	Rybelsus 3mg Tab	NOO	7.2030	7.2030	NO	YES	NO
02497603	SEMAGLUTIDE	Rybelsus 7mg Tab	NOO	7.2030	7.2030	NO	YES	NO

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