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Products found: 28

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DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Interchangeable	Limited Use	Therapeutic Notes
02325462	ESTRADIOL 17-B	Vagifem 10 10mcg Vag Tab with Applicator	NOO	4.9061	4.9061	NO	NO	NO
02333627	GLUCAGON RDNA ORIGIN	GlucaGen HypoKit 1mg/Vial Inj Pd-Syr Pk	NOO	112.6700	112.6700	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	26.4500	26.4500	NO	NO	NO
09853812	INSULIN (30% NEUTRAL & 70% ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge 30/70 Penfill 100U/mL Inj Susp-5x3mL Pk	NOO	50.0100	50.0100	NO	NO	NO
02024225	INSULIN (ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge NPH 1000U/10mL Inj Susp-10mL Pk	NOO	26.3200	26.3200	NO	NO	NO
09853782	INSULIN (ISOPHANE) HUMAN BIOSYNTHETIC	Novolin ge NPH Penfill 100U/mL Inj Susp-5x3mL Pk	NOO	51.7500	51.7500	NO	NO	NO
02245397	INSULIN ASPART	NovoRapid 100U/mL Inj Sol-10mL Pk	NOO	32.6200	32.6200	NO	YES	NO
02265435	INSULIN ASPART 30% & INSULIN ASPART PROTAMINE 70%	NovoMix 30 Penfill 100U/mL Inj Susp-5x3mL Pk	NOO	60.6700	60.6700	NO	NO	NO
02467860	INSULIN DEGLUDEC	Tresiba 100U/mL Inj Sol-3X5mL Cart Pk	NOO	116.5600	116.5600	NO	NO	NO
02467887	INSULIN DEGLUDEC	Tresiba 200U/mL Inj Sol-Flextouch Pref Pen 3x3mL Pk	NOO	139.8800	139.8800	NO	NO	NO
02467879	INSULIN DEGLUDEC	Tresiba 100U/mL Inj Sol-Flextouch Pref Pen 5x3mL Pk	NOO	116.5600	116.5600	NO	NO	NO
02271842	INSULIN DETEMIR	Levemir Penfill 100U/mL Inj Sol-5x3mL Pk	NOO	116.7600	116.7600	NO	NO	NO
02412829	INSULIN DETEMIR	Levemir Flextouch 100U/mL Inj Sol-Pref Disp Pen 5X3mL Pk	NOO	115.2900	115.2900	NO	NO	NO
02024233	INSULIN HUMAN BIOSYNTHETIC	Novolin ge Toronto 1000U/10mL Inj Sol-10mL Pk	NOO	25.7300	25.7300	NO	NO	NO
09853774	INSULIN HUMAN BIOSYNTHETIC	Novolin ge Toronto Penfill 100U/mL Inj Sol-5x3mL Pk	NOO	50.5500	50.5500	NO	NO	NO
02239926	REPAGLINIDE	GlucoNorm (Off-Formulary Interchangeable) 2mg 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
02239924	REPAGLINIDE	GlucoNorm (Off-Formulary Interchangeable) 0.5mg Tab	NOO	N/A	N/A	YES	NO	NO
02540258	SEMAGLUTIDE	Ozempic 0.68mg/mL Inj Sol - Pref Pen 3mL Pk	NOO	227.9400	227.9400	NO	YES	NO
02471477	SEMAGLUTIDE	Ozempic 1.34mg/mL Inj Sol-Pref Pen 1.5mL Pk	NOO	227.9400	227.9400	NO	YES	NO
02471469	SEMAGLUTIDE	Ozempic 1.34mg/mL Inj Sol-Pref Pen 3mL Pk	NOO	227.9400	227.9400	NO	YES	NO
02497611	SEMAGLUTIDE	Rybelsus 14mg Tab	NOO	7.5303	7.5303	NO	YES	NO
02551039	SEMAGLUTIDE	Rybelsus 9mg Tab	NOO	7.5303	7.5303	NO	YES	NO
02497603	SEMAGLUTIDE	Rybelsus 7mg Tab	NOO	7.5303	7.5303	NO	YES	NO
02551020	SEMAGLUTIDE	Rybelsus 4mg Tab	NOO	7.5303	7.5303	NO	YES	NO
02497581	SEMAGLUTIDE	Rybelsus 3mg Tab	NOO	7.5303	7.5303	NO	YES	NO
02551012	SEMAGLUTIDE	Rybelsus 1.5mg Tab	NOO	7.5303	7.5303	NO	YES	NO

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