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Products found: 11New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02382857GLYCOPYRROLATEGlycopyrrolate Injection 0.2mg/mL Inj SolOMG2.78252.7825YESYESNO
02248640OCTREOTIDEOctreotide Acetate Omega 100mcg/mL Inj Sol - 1mL Amp PkOMG7.56607.5660YESNONO
02248641OCTREOTIDEOctreotide Acetate Omega 500mcg/mL Inj Sol - 1mL Amp PkOMG40.301940.3019YESNONO
02248639OCTREOTIDEOctreotide Acetate Omega 50mcg/mL Inj Sol - 1mL Amp PkOMG4.00804.0080YESNONO
02248642OCTREOTIDEOctreotide Acetate Omega 200mcg/mL Inj Sol - 5mL Vial PkOMG72.772572.7725YESNONO
02249685PAMIDRONATE DISODIUMPamidronate Disodium Omega (Off-Formulary Interchangeable) 9mg/mL Inj Sol-10mL VialOMG260.3300260.3300YESNONO
02249669PAMIDRONATE DISODIUMPamidronate Disodium Omega (Off-Formulary Interchangeable) 3mg/mL Inj Sol-10mL VialOMG86.780086.7800YESNONO
02249677PAMIDRONATE DISODIUMPamidronate Disodium Omega (Off-Formulary Interchangeable) 6mg/mL Inj Sol-10mL VialOMG176.7000176.7000YESNONO
02242810SCOPOLAMINE HYDROBROMIDEScopolamine Hydrobromide Injection 0.4mg/mL Inj Sol (Preservative Free)OMG6.38006.3800YESYESNO
02242811SCOPOLAMINE HYDROBROMIDEScopolamine Hydrobromide Injection 0.6mg/mL Inj Sol (Preservative Free)OMG6.90006.9000YESYESNO
02413701ZOLEDRONIC ACIDZoledronic Acid for Inj. Concentrate (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)OMG415.0000415.0000YESNONO