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Products found: 59New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02476479AMLODIPINENRA-Amlodipine 10mg TabNRA0.19930.1993YESNONO
02476460AMLODIPINENRA-Amlodipine 5mg TabNRA0.13430.1343YESNONO
02476525ATORVASTATIN CALCIUMNRA-Atorvastatin 20mg TabNRA0.21790.2179YESNONO
02476541ATORVASTATIN CALCIUMNRA-Atorvastatin 80mg TabNRA0.23420.2342YESNONO
02476533ATORVASTATIN CALCIUMNRA-Atorvastatin 40mg TabNRA0.23420.2342YESNONO
02476517ATORVASTATIN CALCIUMNRA-Atorvastatin 10mg TabNRA0.17430.1743YESNONO
02479680AZITHROMYCINNRA-Azithromycin 250mg TabNRA0.94100.9410YESNOYES
02479745CELECOXIBNRA-Celecoxib 200mg CapNRA0.25580.2558YESYESYES
02479737CELECOXIBNRA-Celecoxib 100mg CapNRA0.12790.1279YESYESYES
02492008CIPROFLOXACINNRA-Ciprofloxacin 500mg TabNRA0.50250.5025YESNOYES
02493748CLINDAMYCIN HCLNRA-Clindamycin 150mg CapNRA0.22170.2217YESNONO
02493756CLINDAMYCIN HCLNRA-Clindamycin 300mg CapNRA0.44340.4434YESNONO
02482037CLOPIDOGREL BISULFATENRA-Clopidogrel 75mg TabNRA0.26310.2631YESNONO
02482126DULOXETINENRA-Duloxetine 30mg DR CapNRA0.48140.4814YESNONO
02482134DULOXETINENRA-Duloxetine 60mg DR CapNRA0.97690.9769YESNONO
02476851ESCITALOPRAMNRA-Escitalopram 10mg TabNRA0.31090.3109YESNONO
02476878ESCITALOPRAMNRA-Escitalopram 20mg TabNRA0.33100.3310YESNONO
02481669EZETIMIBENRA-Ezetimibe 10mg TabNRA0.18110.1811YESYESNO
02503875FLUOXETINE HCLNRA-Fluoxetine (Off-Formulary Interchangeable) 10mg CapNRA1.1773N/AYESNOYES
02503883FLUOXETINE HCLNRA-Fluoxetine 20mg CapNRA0.33110.3311YESNOYES
02499576LACOSAMIDENRA-Lacosamide 100mg TabNRA0.87500.8750YESYESNO
02499568LACOSAMIDENRA-Lacosamide 50mg TabNRA0.63130.6313YESYESNO
02499584LACOSAMIDENRA-Lacosamide 150mg TabNRA1.17631.1763YESYESNO
02499592LACOSAMIDENRA-Lacosamide 200mg TabNRA1.45001.4500YESYESNO
02499215LEVETIRACETAMNRA-Levetiracetam 750mg TabNRA0.54160.5416YESYESNO
02499193LEVETIRACETAMNRA-Levetiracetam 250mg TabNRA0.32100.3210YESYESNO
02499207LEVETIRACETAMNRA-Levetiracetam 500mg TabNRA0.39110.3911YESYESNO
02489821MONTELUKAST SODIUMNRA-Montelukast (Off-Formulary Interchangeable) 10mg TabNRA1.77351.7735YESNONO
02499258OLMESARTAN MEDOXOMILNRA-Olmesartan 20mg TabNRA0.30190.3019YESNONO
02499266OLMESARTAN MEDOXOMILNRA-Olmesartan 40mg TabNRA0.30190.3019YESNONO
02501880OMEPRAZOLENRA-Omeprazole DR Tab 20mgNRA0.22870.2287YESYESNO
09858131OMEPRAZOLE MAGNESIUMNRA-Omeprazole DR Tab 20mgNRA0.22870.2287YESYESNO
02471825PANTOPRAZOLE SODIUMNRA-Pantoprazole 40mg Ent TabNRA0.20160.2016YESYESNO
02479788PAROXETINE HCLNRA-Paroxetine 30mg TabNRA0.34530.3453YESNONO
02479761PAROXETINE HCLNRA-Paroxetine 20mg TabNRA0.32500.3250YESNONO
02479753PAROXETINE HCLNRA-Paroxetine (Off-Formulary Interchangeable) 10mg TabNRA1.0430N/AYESNONO
02489023PERINDOPRIL ERBUMINENRA-Perindopril 4mg TabNRA0.20420.2042YESNONO
02489031PERINDOPRIL ERBUMINENRA-Perindopril 8mg TabNRA0.28310.2831YESNONO
02489015PERINDOPRIL ERBUMINENRA-Perindopril 2mg TabNRA0.16320.1632YESNONO
02479133PREGABALINNRA-Pregabalin 75mg CapNRA0.30070.3007YESNONO
02479125PREGABALINNRA-Pregabalin 50mg CapNRA0.23240.2324YESNONO
02479117PREGABALINNRA-Pregabalin 25mg CapNRA0.14810.1481YESNONO
02479168PREGABALINNRA-Pregabalin 150mg CapNRA0.41450.4145YESNONO
02486237QUETIAPINENRA-Quetiapine 25mg TabNRA0.04940.0494YESNONO
02486180RAMIPRILNRA-Ramipril Cap 5mgNRA0.08170.0817YESNONO
02486172RAMIPRILNRA-Ramipril Cap 2.5mgNRA0.08170.0817YESNONO
02486199RAMIPRILNRA-Ramipril Cap 10mgNRA0.10340.1034YESNONO
02477505ROSUVASTATIN CALCIUMNRA-Rosuvastatin 20mg TabNRA0.16920.1692YESNONO
02477491ROSUVASTATIN CALCIUMNRA-Rosuvastatin 10mg TabNRA0.13540.1354YESNONO
02477483ROSUVASTATIN CALCIUMNRA-Rosuvastatin 5mg TabNRA0.12840.1284YESNONO
02477513ROSUVASTATIN CALCIUMNRA-Rosuvastatin 40mg TabNRA0.19900.1990YESNONO
02488450SERTRALINE HCLNRA-Sertraline 100mg CapNRA0.33030.3303YESNOYES
02488442SERTRALINE HCLNRA-Sertraline 50mg CapNRA0.30320.3032YESNOYES
02488434SERTRALINE HCLNRA-Sertraline 25mg CapNRA0.15160.1516YESNOYES
02476819SILDENAFILNRA-Sildenafil (Off-Formulary Interchangeable) 100mg TabNRA9.2006N/AYESNONO
02504138TELMISARTAN & HYDROCHLOROTHIAZIDENRA-Telmisartan HCTZ 80mg & 25mg TabNRA0.20980.2098YESNONO
02504146TELMISARTAN & HYDROCHLOROTHIAZIDENRA-Telmisartan HCTZ 80mg & 12.5mg TabNRA0.20980.2098YESNONO
02477378ZOPICLONENRA-Zopiclone (Off-Formulary Interchangeable) 5mg TabNRA0.22310.2231YESNONO
02477386ZOPICLONENRA-Zopiclone (Off-Formulary Interchangeable) 7.5mg TabNRA0.46850.4685YESNONO