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Products found: 11

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
02382857	GLYCOPYRROLATE	Glycopyrrolate Injection 0.2mg/mL Inj Sol	OMG	2.7825	2.7825	YES	YES	NO
02248641	OCTREOTIDE	Octreotide Acetate Omega 500mcg/mL Inj Sol - 1mL Amp Pk	OMG	40.3019	40.3019	YES	NO	NO
02248640	OCTREOTIDE	Octreotide Acetate Omega 100mcg/mL Inj Sol - 1mL Amp Pk	OMG	7.5660	7.5660	YES	NO	NO
02248639	OCTREOTIDE	Octreotide Acetate Omega 50mcg/mL Inj Sol - 1mL Amp Pk	OMG	4.0080	4.0080	YES	NO	NO
02248642	OCTREOTIDE	Octreotide Acetate Omega 200mcg/mL Inj Sol - 5mL Vial Pk	OMG	72.7725	72.7725	YES	NO	NO
02249685	PAMIDRONATE DISODIUM	Pamidronate Disodium Omega (Off-Formulary Interchangeable) 9mg/mL Inj Sol-10mL Vial	OMG	260.3300	260.3300	YES	NO	NO
02249669	PAMIDRONATE DISODIUM	Pamidronate Disodium Omega (Off-Formulary Interchangeable) 3mg/mL Inj Sol-10mL Vial	OMG	86.7800	86.7800	YES	NO	NO
02249677	PAMIDRONATE DISODIUM	Pamidronate Disodium Omega (Off-Formulary Interchangeable) 6mg/mL Inj Sol-10mL Vial	OMG	176.7000	176.7000	YES	NO	NO
02242810	SCOPOLAMINE HYDROBROMIDE	Scopolamine Hydrobromide Injection 0.4mg/mL Inj Sol (Preservative Free)	OMG	6.3800	6.3800	YES	YES	NO
02242811	SCOPOLAMINE HYDROBROMIDE	Scopolamine Hydrobromide Injection 0.6mg/mL Inj Sol (Preservative Free)	OMG	6.9000	6.9000	YES	YES	NO
02413701	ZOLEDRONIC ACID	Zoledronic Acid for Inj. Concentrate (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	OMG	415.0000	415.0000	YES	NO	NO