Search Results

You can sort your results in ascending / descending order by clicking on the column headings, with the exception of Therapeutic Notes.

Products found: 444

New Search

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
02458381	ABACAVIR SULFATE & LAMIVUDINE	PMS-Abacavir-Lamivudine 600mg & 300mg Tab	PMS	5.9875	5.9875	YES	NO	NO
02501503	ABIRATERONE ACETATE	PMS-Abiraterone (Off-Formulary Interchangeable) 500mg Tab	PMS	52.0625	52.0625	YES	NO	NO
02492601	ABIRATERONE ACETATE	PMS-Abiraterone (Off-Formulary Interchangeable) 250mg Tab	PMS	26.0313	26.0313	YES	NO	NO
00816027	ACETAMINOPHEN & CODEINE PHOSPHATE	PMS-Acetaminophen With Codeine 160mg & 8mg/5mL O/L	PMS	0.1074	0.1074	YES	NO	YES
02284006	ALENDRONATE	PMS-Alendronate-FC 70mg Tab	PMS	1.7804	1.7804	YES	NO	NO
02242472	AMIODARONE HCL	PMS-Amiodarone 200mg Tab	PMS	0.3706	0.3706	YES	NO	YES
00654515	AMITRIPTYLINE	PMS-Amitriptyline 25mg Tab	PMS	0.0829	0.0829	YES	NO	NO
00654507	AMITRIPTYLINE	PMS-Amitriptyline 50mg Tab	PMS	0.1540	0.1540	YES	NO	NO
02284073	AMLODIPINE	PMS-Amlodipine 10mg Tab	PMS	0.1993	0.1993	YES	NO	NO
02284065	AMLODIPINE	PMS-Amlodipine 5mg Tab	PMS	0.1343	0.1343	YES	NO	NO
02469049	AMLODIPINE	Pharma-Amlodipine 10mg Tab	PMS	0.1993	0.1993	YES	NO	NO
02469030	AMLODIPINE	Pharma-Amlodipine 5mg Tab	PMS	0.1343	0.1343	YES	NO	NO
02274949	ANAGRELIDE HCL	PMS-Anagrelide 0.5mg Cap	PMS	4.6997	4.6997	YES	YES	NO
02320738	ANASTROZOLE	PMS-Anastrozole 1mg Tab	PMS	0.9522	0.9522	YES	NO	NO
02521733	APREMILAST	PMS-Apremilast (Off-Formulary Interchangeable) 30mg Tab	PMS	18.7238	N/A	YES	NO	NO
02466694	ARIPIPRAZOLE	PMS-Aripiprazole 30mg Tab	PMS	1.0017	1.0017	YES	NO	YES
02466678	ARIPIPRAZOLE	PMS-Aripiprazole 15mg Tab	PMS	1.2692	1.2692	YES	NO	YES
02466635	ARIPIPRAZOLE	PMS-Aripiprazole 2mg Tab	PMS	0.8092	0.8092	YES	NO	YES
02466686	ARIPIPRAZOLE	PMS-Aripiprazole 20mg Tab	PMS	1.0017	1.0017	YES	NO	YES
02466651	ARIPIPRAZOLE	PMS-Aripiprazole 10mg Tab	PMS	1.0754	1.0754	YES	NO	YES
02466643	ARIPIPRAZOLE	PMS-Aripiprazole 5mg Tab	PMS	0.9046	0.9046	YES	NO	YES
02237600	ATENOLOL	PMS-Atenolol 50mg Tab	PMS	0.0938	0.0938	YES	NO	NO
02237601	ATENOLOL	PMS-Atenolol 100mg Tab	PMS	0.1543	0.1543	YES	NO	NO
02381060	ATOMOXETINE HCL	PMS-Atomoxetine 60mg Cap	PMS	0.8092	0.8092	YES	NO	NO
02381052	ATOMOXETINE HCL	PMS-Atomoxetine 40mg Cap	PMS	0.7369	0.7369	YES	NO	NO
02381044	ATOMOXETINE HCL	PMS-Atomoxetine 25mg Cap	PMS	0.6420	0.6420	YES	NO	NO
02381028	ATOMOXETINE HCL	PMS-Atomoxetine 10mg Cap	PMS	0.5106	0.5106	YES	NO	NO
02381036	ATOMOXETINE HCL	PMS-Atomoxetine 18mg Cap	PMS	0.5748	0.5748	YES	NO	NO
02477157	ATORVASTATIN CALCIUM	PMS-Atorvastatin 20mg Tab	PMS	0.2179	0.2179	YES	NO	NO
02477149	ATORVASTATIN CALCIUM	PMS-Atorvastatin 10mg Tab	PMS	0.1743	0.1743	YES	NO	NO
02477165	ATORVASTATIN CALCIUM	PMS-Atorvastatin 40mg Tab	PMS	0.2342	0.2342	YES	NO	NO
02507234	ATORVASTATIN CALCIUM	PMSC-Atorvastatin 10mg Tab	PMS	0.1743	0.1743	YES	NO	NO
02507242	ATORVASTATIN CALCIUM	PMSC-Atorvastatin 20mg Tab	PMS	0.2179	0.2179	YES	NO	NO
02507269	ATORVASTATIN CALCIUM	PMSC-Atorvastatin 80mg Tab	PMS	0.2342	0.2342	YES	NO	NO
02507250	ATORVASTATIN CALCIUM	PMSC-Atorvastatin 40mg Tab	PMS	0.2342	0.2342	YES	NO	NO
02261634	AZITHROMYCIN	PMS-Azithromycin 250mg Tab	PMS	0.9410	0.9410	YES	NO	YES
02261642	AZITHROMYCIN	PMS-Azithromycin 600mg Tab	PMS	10.6652	10.6652	YES	YES	YES
02063743	BACLOFEN	PMS-Baclofen 20mg Tab	PMS	0.3104	0.3104	YES	NO	YES
02063735	BACLOFEN	PMS-Baclofen 10mg Tab	PMS	0.1595	0.1595	YES	NO	YES
02239537	BENZYDAMINE HCL	PMS-Benzydamine (Off-Formulary Interchangeable) 0.15% Oral Rinse	PMS	0.0960	N/A	YES	NO	NO
02330237	BETAHISTINE DIHYDROCHLORIDE	PMS-Betahistine (Off-Formulary Interchangeable) 24mg Tab	PMS	0.4983	N/A	YES	NO	NO
02330210	BETAHISTINE DIHYDROCHLORIDE	PMS-Betahistine (Off-Formulary Interchangeable) 16mg Tab	PMS	0.3557	0.3557	YES	NO	NO
02275589	BICALUTAMIDE	PMS-Bicalutamide 50mg Tab	PMS	1.2690	1.2690	YES	NO	NO
02383012	BOSENTAN MONOHYDRATE	PMS-Bosentan (Off-Formulary Interchangeable) 62.5mg Tab	PMS	32.0893	32.0893	YES	NO	NO
02383020	BOSENTAN MONOHYDRATE	PMS-Bosentan (Off-Formulary Interchangeable) 125mg Tab	PMS	32.0893	32.0893	YES	NO	NO
02246284	BRIMONIDINE	PMS-Brimonidine 0.2% Oph Sol	PMS	1.1550	1.1550	YES	YES	NO
02424878	BUPRENORPHINE & NALOXONE	PMS-Buprenorphine-Naloxone 8mg & 2mg SL Tab	PMS	2.3650	2.3650	YES	NO	NO
02424851	BUPRENORPHINE & NALOXONE	PMS-Buprenorphine-Naloxone 2mg & 0.5mg SL Tab	PMS	1.3350	1.3350	YES	NO	NO
02230942	BUSPIRONE HYDROCHLORIDE	PMS-Buspirone 10mg Tab	PMS	0.2713	0.2713	YES	NO	NO
02495899	CALCITRIOL	PMS-Calcitriol 0.25mcg Cap	PMS	0.2341	0.2341	YES	NO	NO
02495902	CALCITRIOL	PMS-Calcitriol 0.5mcg Cap	PMS	0.3723	0.3723	YES	NO	NO
02391171	CANDESARTAN CILEXETIL	PMS-Candesartan 4mg Tab	PMS	0.1700	0.1700	YES	NO	NO
02391201	CANDESARTAN CILEXETIL	PMS-Candesartan 16mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02391198	CANDESARTAN CILEXETIL	PMS-Candesartan 8mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02391228	CANDESARTAN CILEXETIL	PMS-Candesartan 32mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02391295	CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE	PMS-Candesartan-HCTZ 16mg & 12.5mg Tab	PMS	0.2156	0.2156	YES	NO	NO
02245916	CARVEDILOL	PMS-Carvedilol 12.5mg Tab	PMS	0.2060	0.2060	YES	YES	NO
02245914	CARVEDILOL	PMS-Carvedilol 3.125mg Tab	PMS	0.2060	0.2060	YES	YES	NO
02245917	CARVEDILOL	PMS-Carvedilol 25mg Tab	PMS	0.2060	0.2060	YES	YES	NO
02245915	CARVEDILOL	PMS-Carvedilol 6.25mg Tab	PMS	0.2060	0.2060	YES	YES	NO
02355442	CELECOXIB	PMS-Celecoxib 100mg Cap	PMS	0.1279	0.1279	YES	YES	YES
02355450	CELECOXIB	PMS-Celecoxib 200mg Cap	PMS	0.2558	0.2558	YES	YES	YES
02517124	CELECOXIB	PMSC-Celecoxib 200mg Cap	PMS	0.2558	0.2558	YES	YES	YES
02517116	CELECOXIB	PMSC-Celecoxib 100mg Cap	PMS	0.1279	0.1279	YES	YES	YES
02315955	CETIRIZINE HYDROCHLORIDE	Extra Strength Allergy Relief (Off-Formulary Interchangeable) 10mg Tab	PMS	0.3938	N/A	YES	NO	NO
02315963	CETIRIZINE HYDROCHLORIDE	PMS-Cetirizine (Off-Formulary Interchangeable) 20mg Tab	PMS	0.7535	N/A	YES	NO	NO
02517612	CINACALCET	PMS-Cinacalcet (Off-Formulary Interchangeable) 60mg Tab	PMS	18.5900	18.5900	YES	NO	NO
02517604	CINACALCET	PMS-Cinacalcet (Off-Formulary Interchangeable) 30mg Tab	PMS	10.1947	10.1947	YES	NO	NO
02517620	CINACALCET	PMS-Cinacalcet (Off-Formulary Interchangeable) 90mg Tab	PMS	27.0517	27.0517	YES	NO	NO
02248439	CIPROFLOXACIN	PMS-Ciprofloxacin 750mg Tab	PMS	0.9201	0.9201	YES	NO	YES
02248438	CIPROFLOXACIN	PMS-Ciprofloxacin 500mg Tab	PMS	0.5025	0.5025	YES	NO	YES
02248437	CIPROFLOXACIN	PMS-Ciprofloxacin 250mg Tab	PMS	0.4454	0.4454	YES	NO	YES
02416433	CIPROFLOXACIN HCL & CIPROFLOXACIN BASE	PMS-Ciprofloxacin XL 500mg ER Tab	PMS	2.3110	2.3110	YES	YES	NO
02248010	CITALOPRAM HYDROBROMIDE	PMS-Citalopram 20mg Tab	PMS	0.1332	0.1332	YES	NO	NO
02248011	CITALOPRAM HYDROBROMIDE	PMS-Citalopram 40mg Tab	PMS	0.1332	0.1332	YES	NO	NO
02247574	CLARITHROMYCIN	PMS-Clarithromycin (Off-Formulary Interchangeable) 500mg Tab	PMS	2.2009	N/A	YES	NO	YES
02247573	CLARITHROMYCIN	PMS-Clarithromycin 250mg Tab	PMS	0.4122	0.4122	YES	NO	YES
02309521	CLOBETASOL PROPIONATE	PMS-Clobetasol 0.05% Cr	PMS	0.2279	0.2279	YES	NO	YES
02309548	CLOBETASOL PROPIONATE	PMS-Clobetasol 0.05% Oint	PMS	0.2279	0.2279	YES	NO	YES
02048736	CLONAZEPAM	PMS-Clonazepam 2mg Tab	PMS	0.0721	0.0721	YES	NO	NO
02048701	CLONAZEPAM	PMS-Clonazepam 0.5mg Tab	PMS	0.0418	0.0418	YES	NO	NO
02207818	CLONAZEPAM	PMS-Clonazepam-R 0.5mg Tab	PMS	0.0418	0.0418	YES	NO	NO
02348004	CLOPIDOGREL BISULFATE	PMS-Clopidogrel 75mg Tab	PMS	0.2631	0.2631	YES	NO	NO
02212048	CYCLOBENZAPRINE HCL	PMS-Cyclobenzaprine (Not a Benefit) 10mg Tab	PMS	N/A	N/A	YES	NO	YES
02531569	DAPAGLIFLOZIN	PMS-Dapagliflozin 10mg Tab	PMS	0.6825	0.6825	YES	NO	YES
02531550	DAPAGLIFLOZIN	PMS-Dapagliflozin 5mg Tab	PMS	0.6825	0.6825	YES	NO	YES
02528304	DEFERASIROX	PMS-Deferasirox (Type J) 180mg Tab	PMS	5.2610	5.2610	YES	NO	NO
02528290	DEFERASIROX	PMS-Deferasirox (Type J) 90mg Tab	PMS	2.6303	2.6303	YES	NO	NO
02528312	DEFERASIROX	PMS-Deferasirox (Type J) 360mg Tab	PMS	10.5228	10.5228	YES	NO	NO
02304368	DESMOPRESSIN ACETATE	PMS-Desmopressin 0.1mg Tab	PMS	0.6609	0.6609	YES	NO	NO
02304376	DESMOPRESSIN ACETATE	PMS-Desmopressin 0.2mg Tab	PMS	1.3217	1.3217	YES	NO	NO
01964070	DEXAMETHASONE	PMS-Dexamethasone 4mg Tab	PMS	0.6112	0.6112	YES	NO	NO
01964976	DEXAMETHASONE	PMS-Dexamethasone 0.5mg Tab	PMS	0.1564	0.1564	YES	NO	NO
02239753	DICLOFENAC POTASSIUM	PMS-Diclofenac K (Off-Formulary Interchangeable) 50mg Tab	PMS	0.3937	N/A	YES	NO	YES
02302616	DICLOFENAC SODIUM	PMS-Diclofenac 25mg Ent Tab	PMS	0.0781	0.0781	YES	NO	YES
02302624	DICLOFENAC SODIUM	PMS-Diclofenac 50mg Ent Tab	PMS	0.2064	0.2064	YES	NO	YES
02231505	DICLOFENAC SODIUM	PMS-Diclofenac-SR 100mg LA Tab	PMS	0.4048	0.4048	YES	NO	YES
02231508	DICLOFENAC SODIUM	PMS-Diclofenac 100mg Sup	PMS	0.5840	0.5840	YES	NO	YES
02356783	DICLOFENAC SODIUM	PMS-Diclofenac (Off-Formulary Interchangeable) 1.5% W/W Top Sol	PMS	0.6227	N/A	YES	NO	NO
02413477	DICLOFENAC SODIUM & MISOPROSTOL	PMS-Diclofenac-Misoprostol 75mg & 200mcg Tab	PMS	0.4286	0.4286	YES	NO	YES
02413469	DICLOFENAC SODIUM & MISOPROSTOL	PMS-Diclofenac-Misoprostol 50mg & 200mcg Tab	PMS	0.3149	0.3149	YES	NO	YES
02242320	DIGOXIN	PMS-Digoxin 0.05mg/mL O/L	PMS	0.3692	0.3692	NO	NO	YES
02335719	DIGOXIN	PMS-Digoxin 0.125mg Tab	PMS	0.1751	0.1751	YES	NO	YES
02335727	DIGOXIN	PMS-Digoxin 0.25mg Tab	PMS	0.2060	0.2060	NO	NO	YES
02335700	DIGOXIN	PMS-Digoxin 0.0625mg Tab	PMS	0.1850	0.1850	YES	NO	YES
02355779	DILTIAZEM HCL	PMS-Diltiazem CD 240mg LA Cap	PMS	0.6399	0.6399	YES	NO	NO
02355787	DILTIAZEM HCL	PMS-Diltiazem CD 300mg LA Cap	PMS	0.7999	0.7999	YES	NO	NO
02355760	DILTIAZEM HCL	PMS-Diltiazem CD 180mg LA Cap	PMS	0.4824	0.4824	YES	NO	NO
02355752	DILTIAZEM HCL	PMS-Diltiazem CD 120mg LA Cap	PMS	0.3634	0.3634	YES	NO	NO
00586331	DIMENHYDRINATE	PMS-Dimenhydrinate (Not a Benefit) 50mg Tab	PMS	N/A	N/A	YES	NO	NO
02497026	DIMETHYL FUMARATE	PMS-Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR Cap	PMS	9.1933	9.1933	YES	NO	NO
02497034	DIMETHYL FUMARATE	PMS-Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR Cap	PMS	18.3867	18.3867	YES	NO	NO
01994344	DOCUSATE SODIUM (DIOCTYL SODIUM SULFOSUCCINATE)	Soflax 100mg Cap	PMS	0.0328	0.0328	YES	NO	NO
02236466	DOMPERIDONE MALEATE	PMS-Domperidone 10mg Tab	PMS	0.0428	0.0428	YES	NO	NO
02322358	DONEPEZIL HCL	PMS-Donepezil 10mg Tab	PMS	0.4586	0.4586	YES	YES	NO
02322331	DONEPEZIL HCL	PMS-Donepezil 5mg Tab	PMS	0.4586	0.4586	YES	YES	NO
02442426	DORZOLAMIDE HCL & TIMOLOL MALEATE	PMS-Dorzolamide-Timolol 2% & 0.5% Oph Sol	PMS	2.0951	2.0951	YES	YES	NO
02406187	DOXYLAMINE SUCCINATE AND PYRIDOXINE HCL	PMS-Doxylamine-Pyridoxine 10mg & 10mg SR Tab	PMS	0.6402	0.6402	YES	NO	NO
02429446	DULOXETINE	PMS-Duloxetine 30mg DR Cap	PMS	0.4814	0.3611	YES	NO	NO
02429454	DULOXETINE	PMS-Duloxetine 60mg DR Cap	PMS	0.9769	0.7327	YES	NO	NO
02393220	DUTASTERIDE	PMS-Dutasteride 0.5mg Cap	PMS	0.2565	0.2565	YES	YES	NO
02487284	EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINE	PMS-Efavirenz-Emtricitabine-Tenofovir 600mg/300mg/200mg Tab	PMS	11.3300	11.3300	YES	NO	NO
02434342	ELETRIPTAN	PMS-Eletriptan (Off-Formulary Interchangeable) 20mg Tab	PMS	10.0850	N/A	YES	NO	NO
02434350	ELETRIPTAN	PMS-Eletriptan (Off-Formulary Interchangeable) 40mg Tab	PMS	10.0850	N/A	YES	NO	NO
02461110	EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE	PMS-Emtricitabine/Tenofovir 200mg & 300mg Tab	PMS	7.3035	7.3035	YES	NO	NO
02430576	ENTECAVIR	PMS-Entecavir 0.5mg Tab	PMS	5.5000	4.4000	YES	YES	NO
02454394	ERLOTINIB	PMS-Erlotinib (Off-Formulary Interchangeable) 150mg Tab	PMS	71.2000	71.2000	YES	NO	NO
02454386	ERLOTINIB	PMS-Erlotinib (Off-Formulary Interchangeable) 100mg Tab	PMS	47.4667	47.4667	YES	NO	NO
02469243	ESCITALOPRAM	PMS-Escitalopram 10mg Tab	PMS	0.3109	0.3109	YES	NO	NO
02469251	ESCITALOPRAM	PMS-Escitalopram 20mg Tab	PMS	0.3310	0.3310	YES	NO	NO
02528487	ESOMEPRAZOLE	PMSC-Esomeprazole DR (Off-Formulary Interchangeable) 40mg	PMS	1.8690	N/A	YES	NO	NO
02528479	ESOMEPRAZOLE	PMSC-Esomeprazole DR (Off-Formulary Interchangeable) 20mg DR Tab	PMS	1.8690	N/A	YES	NO	NO
02504677	EVEROLIMUS	PMS-Everolimus (Off-Formulary Interchangeable) 2.5mg Tab	PMS	172.2559	172.2559	YES	NO	NO
02504685	EVEROLIMUS	PMS-Everolimus (Off-Formulary Interchangeable) 5mg Tab	PMS	172.2559	172.2559	YES	NO	NO
02504693	EVEROLIMUS	PMS-Everolimus (Off-Formulary Interchangeable) 10mg Tab	PMS	172.2559	172.2559	YES	NO	NO
02416409	EZETIMIBE	PMS-Ezetimibe 10mg Tab	PMS	0.1811	0.1811	YES	YES	NO
02278081	FAMCICLOVIR	PMS-Famciclovir (Off-Formulary Interchangeable) 125mg Tab	PMS	2.0240	2.0240	YES	NO	NO
02278103	FAMCICLOVIR	PMS-Famciclovir (Off-Formulary Interchangeable) 250mg Tab	PMS	2.7200	2.7200	YES	NO	NO
02496216	FAMPRIDINE	PMS-Fampridine (Off-Formulary Interchangeable) 10mg ER Tab	PMS	8.4730	N/A	YES	NO	NO
02320169	FINASTERIDE	PMS-Finasteride (Off-Formulary Interchangeable) 1mg Tab	PMS	1.1453	N/A	YES	NO	NO
02310112	FINASTERIDE	PMS-Finasteride 5mg Tab	PMS	0.3506	0.3506	YES	YES	NO
02469782	FINGOLIMOD	PMS-Fingolimod (Off-Formulary Interchangeable) 0.5mg Cap	PMS	73.9096	73.9096	YES	NO	NO
02245644	FLUCONAZOLE	PMS-Fluconazole 100mg Tab	PMS	2.2891	2.2891	YES	NO	NO
02245643	FLUCONAZOLE	PMS-Fluconazole 50mg Tab	PMS	1.2904	1.2904	YES	NO	NO
00846341	FLUNARIZINE HCL	Sibelium (Not a Benefit) 5mg Cap	PMS	N/A	N/A	YES	NO	NO
02464640	FLUOXETINE HCL	PMS-Fluoxetine 40mg Cap	PMS	0.6622	0.6622	NO	NO	YES
02464659	FLUOXETINE HCL	PMS-Fluoxetine 60mg Cap	PMS	0.9933	0.9933	NO	NO	YES
02177587	FLUOXETINE HCL	PMS-Fluoxetine 20mg Cap	PMS	0.3311	0.3311	YES	NO	YES
02177579	FLUOXETINE HCL	PMS-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap	PMS	1.1773	N/A	YES	NO	YES
02503131	FLUTICASONE PROPIONATE	PMS-Fluticasone 250mcg/Metered Dose Inh-120 Dose Pk	PMS	45.0200	45.0200	YES	NO	NO
02503123	FLUTICASONE PROPIONATE	PMS-Fluticasone HFA 125mcg/Metered Dose Inh-120 Dose Pk	PMS	23.4100	23.4100	YES	NO	NO
02503115	FLUTICASONE PROPIONATE	PMS-Fluticasone HFA 50mcg/Metered Dose Inh-120 Dose Pk	PMS	21.3150	21.3150	YES	NO	NO
02243446	GABAPENTIN	PMS-Gabapentin 100mg Cap	PMS	0.0416	0.0416	YES	NO	NO
02243447	GABAPENTIN	PMS-Gabapentin 300mg Cap	PMS	0.1012	0.1012	YES	NO	NO
02243448	GABAPENTIN	PMS-Gabapentin 400mg Cap	PMS	0.1206	0.1206	YES	NO	NO
02255898	GABAPENTIN	PMS-Gabapentin (Off-Formulary Interchangeable) 600mg Tab	PMS	1.3045	N/A	YES	NO	NO
02255901	GABAPENTIN	PMS-Gabapentin (Off-Formulary Interchangeable) 800mg Tab	PMS	1.7393	N/A	YES	NO	NO
02398370	GALANTAMINE HYDROBROMIDE	PMS-Galantamine ER 8mg ER Cap	PMS	1.2465	1.2465	YES	YES	NO
02398389	GALANTAMINE HYDROBROMIDE	PMS-Galantamine ER 16mg ER Cap	PMS	1.2465	1.2465	YES	YES	NO
02398397	GALANTAMINE HYDROBROMIDE	PMS-Galantamine ER 24mg ER Cap	PMS	1.2465	1.2465	YES	YES	NO
02460661	GLATIRAMER ACETATE	Glatect 20mg/mL Inj Sol-Pref Syr 1mL Pk	PMS	35.0000	35.0000	NO	YES	NO
02236734	GLYBURIDE	PMS-Glyburide 5mg Tab	PMS	0.0574	0.0573	YES	NO	NO
02274086	HYDROCHLOROTHIAZIDE	PMS-Hydrochlorothiazide (Off-Formulary Interchangeable) 12.5mg Tab	PMS	N/A	N/A	YES	NO	NO
02247386	HYDROCHLOROTHIAZIDE	PMS-Hydrochlorothiazide 25mg Tab	PMS	0.0157	0.0157	YES	NO	NO
02247387	HYDROCHLOROTHIAZIDE	PMS-Hydrochlorothiazide 50mg Tab	PMS	0.0217	0.0217	YES	NO	NO
02324253	HYDROCODONE BITARTRATE	PMS-Hydrocodone 1mg/mL O/L	PMS	0.0570	0.0570	YES	NO	NO
01916386	HYDROMORPHONE HCL	PMS-HYDROmorphone 1mg/mL Oral Sol	PMS	0.0827	0.0827	YES	NO	YES
00885444	HYDROMORPHONE HCL	PMS-HYDROmorphone 1mg Tab	PMS	0.0959	0.0959	YES	NO	YES
00885436	HYDROMORPHONE HCL	PMS-HYDROmorphone 2mg Tab	PMS	0.1417	0.1417	YES	NO	YES
00885401	HYDROMORPHONE HCL	PMS-HYDROmorphone 4mg Tab	PMS	0.2240	0.2240	YES	NO	YES
00885428	HYDROMORPHONE HCL	PMS-HYDROmorphone 8mg Tab	PMS	0.3528	0.3528	YES	NO	YES
02431114	IMATINIB MESYLATE	PMS-Imatinib 100mg Tab	PMS	5.2079	5.2079	YES	NO	YES
02431122	IMATINIB MESYLATE	PMS-Imatinib 400mg Tab	PMS	20.8314	20.8314	YES	NO	YES
02231136	IPRATROPIUM BROMIDE	PMS-Ipratropium 250mcg/mL Inh Sol-20mL Pk	PMS	6.3140	6.3140	YES	YES	NO
02231245	IPRATROPIUM BROMIDE	PMS-Ipratropium 250mcg/mL Inh Sol-2mL UDV Pk	PMS	1.3180	1.3180	YES	YES	NO
02231135	IPRATROPIUM BROMIDE	PMS-Ipratropium 125mcg/mL Inh Sol-2mL UDV Pk	PMS	1.1505	1.1505	YES	YES	NO
02239627	IPRATROPIUM BROMIDE	PMS-Ipratropium 0.03% Nasal Spray	PMS	0.8693	0.8693	YES	YES	NO
02317060	IRBESARTAN	PMS-Irbesartan 75mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02317079	IRBESARTAN	PMS-Irbesartan 150mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02317087	IRBESARTAN	PMS-Irbesartan 300mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02328526	IRBESARTAN & HYDROCHLOROTHIAZIDE	PMS-Irbesartan-HCTZ 300mg & 12.5mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02328534	IRBESARTAN & HYDROCHLOROTHIAZIDE	PMS-Irbesartan-HCTZ 300mg & 25mg Tab	PMS	0.2184	0.2184	YES	NO	NO
02328518	IRBESARTAN & HYDROCHLOROTHIAZIDE	PMS-Irbesartan-HCTZ 150mg & 12.5mg Tab	PMS	0.2281	0.2281	YES	NO	NO
02502917	IRON SUCROSE	PMS-Iron Sucrose (Off-Formulary Interchangeable) 20mg/mL Inj Sol-5mL Pk (Preservative-Free)	PMS	27.5000	27.5000	YES	NO	NO
02301288	ISOSORBIDE-5-MONONITRATE	PMS-ISMN (Off-Formulary Interchangeable) 60mg ER Tab	PMS	0.4950	0.4950	YES	NO	NO
02478226	LACOSAMIDE	Pharma-Lacosamide 150mg Tab	PMS	1.1763	1.1763	YES	YES	NO
02478234	LACOSAMIDE	Pharma-Lacosamide 200mg Tab	PMS	1.4500	1.4500	YES	YES	NO
02478196	LACOSAMIDE	Pharma-Lacosamide 50mg Tab	PMS	0.6313	0.6313	YES	YES	NO
02478218	LACOSAMIDE	Pharma-Lacosamide 100mg Tab	PMS	0.8750	0.8750	YES	YES	NO
00703486	LACTULOSE	PMS-Lactulose 667mg/mL O/L	PMS	0.0147	0.0147	NO	NO	NO
02469391	LACTULOSE	PMS-Lactulose-Pharma 667mg/mL O/L	PMS	0.0145	0.0145	YES	NO	NO
02247383	LACTULOSE	Pharma-Lactulose 667mg/mL O/L	PMS	0.0145	0.0145	YES	NO	NO
02246899	LAMOTRIGINE	PMS-Lamotrigine 150mg Tab	PMS	0.4107	0.4107	YES	NO	NO
02246898	LAMOTRIGINE	PMS-Lamotrigine 100mg Tab	PMS	0.2787	0.2787	YES	NO	NO
02246897	LAMOTRIGINE	PMS-Lamotrigine 25mg Tab	PMS	0.0698	0.0698	YES	NO	NO
02433028	LANSOPRAZOLE	Lansoprazole 30mg DR Cap	PMS	0.5000	0.5000	YES	YES	NO
02433001	LANSOPRAZOLE	Lansoprazole 15mg DR Cap	PMS	0.5000	0.5000	YES	YES	NO
02288265	LEFLUNOMIDE	PMS-Leflunomide 10mg Tab	PMS	2.6433	2.0000	YES	NO	NO
02288273	LEFLUNOMIDE	PMS-Leflunomide 20mg Tab	PMS	2.6433	2.0000	YES	NO	NO
02309114	LETROZOLE	PMS-Letrozole 2.5mg Tab	PMS	1.3780	1.3780	YES	NO	NO
02454688	LEVETIRACETAM	Levetiracetam 750mg Tab	PMS	0.5416	0.5416	YES	YES	NO
02454661	LEVETIRACETAM	Levetiracetam 500mg Tab	PMS	0.3911	0.3911	YES	YES	NO
02454653	LEVETIRACETAM	Levetiracetam 250mg Tab	PMS	0.3210	0.3210	YES	YES	NO
02296136	LEVETIRACETAM	PMS-Levetiracetam 750mg Tab	PMS	0.5416	0.5416	YES	YES	NO
02296101	LEVETIRACETAM	PMS-Levetiracetam 250mg Tab	PMS	0.3210	0.3210	YES	YES	NO
02296128	LEVETIRACETAM	PMS-Levetiracetam 500mg Tab	PMS	0.3911	0.3911	YES	YES	NO
02216132	LITHIUM CARBONATE	PMS-Lithium Carbonate 150mg Cap	PMS	0.0667	0.0667	YES	NO	NO
02216140	LITHIUM CARBONATE	PMS-Lithium Carbonate 300mg Cap	PMS	0.0657	0.0657	YES	NO	NO
02228351	LOPERAMIDE HCL	PMS-Loperamide 2mg Caplet	PMS	0.0952	0.0952	YES	YES	NO
00728195	LORAZEPAM	PMS-Lorazepam 1mg Tab	PMS	0.0447	0.0447	YES	NO	NO
00728209	LORAZEPAM	PMS-Lorazepam 2mg Tab	PMS	0.0699	0.0699	YES	NO	NO
00728187	LORAZEPAM	PMS-Lorazepam 0.5mg Tab	PMS	0.0359	0.0359	YES	NO	NO
02309777	LOSARTAN POTASSIUM	PMS-Losartan 100mg Tab	PMS	0.3147	0.3147	YES	NO	NO
02309769	LOSARTAN POTASSIUM	PMS-Losartan 50mg Tab	PMS	0.3147	0.3147	YES	NO	NO
02309750	LOSARTAN POTASSIUM	PMS-Losartan 25mg Tab	PMS	0.3147	0.3147	YES	NO	NO
02392224	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	PMS-Losartan-HCTZ 50mg & 12.5mg Tab	PMS	0.3147	0.3147	YES	NO	NO
02392240	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	PMS-Losartan-HCTZ 100mg & 25mg Tab	PMS	0.3147	0.3147	YES	NO	NO
02392232	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	PMS-Losartan-HCTZ 100mg & 12.5mg Tab	PMS	0.3082	0.3082	YES	NO	NO
02505886	LURASIDONE HYDROCHLORIDE	PMS-Lurasidone 40mg Tab	PMS	1.2250	1.2250	YES	NO	YES
02505878	LURASIDONE HYDROCHLORIDE	PMS-Lurasidone 20mg Tab	PMS	1.2250	1.2250	YES	NO	YES
02505894	LURASIDONE HYDROCHLORIDE	PMS-Lurasidone 60mg Tab	PMS	1.2250	1.2250	YES	NO	YES
02505908	LURASIDONE HYDROCHLORIDE	PMS-Lurasidone 80mg Tab	PMS	1.2250	1.2250	YES	NO	YES
02505916	LURASIDONE HYDROCHLORIDE	PMS-Lurasidone 120mg Tab	PMS	1.2250	1.2250	YES	NO	YES
02248267	MELOXICAM	PMS-Meloxicam 7.5mg Tab	PMS	0.2003	0.2003	YES	NO	YES
02248268	MELOXICAM	PMS-Meloxicam 15mg Tab	PMS	0.2311	0.2311	YES	NO	YES
02321130	MEMANTINE HCL	PMS-Memantine (Off-Formulary Interchangeable) 10mg Tab	PMS	1.6357	N/A	YES	NO	NO
02223562	METFORMIN HCL	PMS-Metformin 500mg Tab	PMS	0.0247	0.0247	YES	NO	NO
02242589	METFORMIN HCL	PMS-Metformin (Off-Formulary Interchangeable) 850mg Tab	PMS	0.2090	N/A	YES	NO	NO
02520303	METFORMIN HCL	PMSC-Metformin 500mg Tab	PMS	0.0247	0.0247	YES	NO	NO
02520311	METFORMIN HCL	PMSC-Metformin (Off-Formulary Interchangeable) 850mg Tab	PMS	0.2090	N/A	YES	NO	NO
02170698	METHOTREXATE	PMS-Methotrexate 2.5mg Tab	PMS	0.2513	0.2513	YES	NO	NO
02537036	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 80mg ER Cap	PMS	3.0883	3.0883	YES	NO	YES
02537028	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 60mg ER Cap	PMS	2.3425	2.3425	YES	NO	YES
02537001	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 50mg ER Cap	PMS	2.0130	2.0130	YES	NO	YES
02536994	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 40mg ER Cap	PMS	1.6588	1.6588	YES	NO	YES
02536986	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 30mg ER Cap	PMS	1.3021	1.3021	YES	NO	YES
02536978	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 20mg ER Cap	PMS	0.9477	0.9477	YES	NO	YES
02536951	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 15mg ER Cap	PMS	0.7354	0.7354	YES	NO	YES
02536943	METHYLPHENIDATE HCL	PMS-Methylphenidate CR 10mg ER Cap	PMS	0.5128	0.5128	YES	NO	YES
00584991	METHYLPHENIDATE HCL	PMS-Methylphenidate 10mg Tab	PMS	0.2216	0.2216	YES	NO	YES
00585009	METHYLPHENIDATE HCL	PMS-Methylphenidate (Off-Formulary Interchangeable) 20mg Tab	PMS	0.3536	N/A	YES	NO	YES
02230431	METOCLOPRAMIDE HCL	PMS-Metoclopramide Tablets 5mg Tab	PMS	0.0514	0.0514	YES	NO	NO
02230432	METOCLOPRAMIDE HCL	PMS-Metoclopramide Tablets 10mg Tab	PMS	0.0659	0.0659	YES	NO	NO
02230804	METOPROLOL TARTRATE	PMS-Metoprolol-L 100mg Tab	PMS	0.1361	0.1361	YES	NO	NO
02230803	METOPROLOL TARTRATE	PMS-Metoprolol-L 50mg Tab	PMS	0.0624	0.0624	YES	NO	NO
00783137	METRONIDAZOLE	PMS-Metronidazole 500mg Cap	PMS	0.2739	0.2739	YES	NO	NO
02248762	MIRTAZAPINE	PMS-Mirtazapine 30mg Tab	PMS	0.3100	0.3100	YES	NO	NO
02440377	MIXED SALT AMPHETAMINE	PMS-Amphetamines XR 10mg ER Cap	PMS	0.6105	0.6105	YES	NO	YES
02440385	MIXED SALT AMPHETAMINE	PMS-Amphetamines XR 15mg ER Cap	PMS	0.6838	0.6838	YES	NO	YES
02440407	MIXED SALT AMPHETAMINE	PMS-Amphetamines XR 25mg ER Cap	PMS	0.8305	0.8305	YES	NO	YES
02440415	MIXED SALT AMPHETAMINE	PMS-Amphetamines XR 30mg ER Cap	PMS	0.9038	0.9038	YES	NO	YES
02440393	MIXED SALT AMPHETAMINE	PMS-Amphetamines XR 20mg ER Cap	PMS	0.7572	0.7572	YES	NO	YES
02440369	MIXED SALT AMPHETAMINE	PMS-Amphetamines XR 5mg ER Cap	PMS	0.5372	0.5372	YES	NO	YES
02354985	MONTELUKAST SODIUM	PMS-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	PMS	1.2075	1.2075	YES	NO	NO
02354977	MONTELUKAST SODIUM	PMS-Montelukast 4mg Chew Tab	PMS	0.2758	0.2758	YES	YES	NO
02373947	MONTELUKAST SODIUM	PMS-Montelukast FC (Off-Formulary Interchangeable) 10mg Tab	PMS	1.7735	1.7735	YES	NO	NO
02432218	MOXIFLOXACIN HYDROCHLORIDE	PMS-Moxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)	PMS	11.2701	N/A	YES	NO	NO
02380897	NABILONE	PMS-Nabilone (Off-Formulary Interchangeable) 0.25mg Cap	PMS	1.4660	N/A	YES	NO	NO
02380900	NABILONE	PMS-Nabilone 0.5mg Cap	PMS	1.8886	1.8886	YES	NO	NO
02380919	NABILONE	PMS-Nabilone 1mg Cap	PMS	3.6669	3.6669	YES	NO	NO
02294702	NAPROXEN	PMS-Naproxen EC (Off-Formulary Interchangeable) 375mg Ent Tab	PMS	0.3675	N/A	YES	NO	YES
02294710	NAPROXEN	PMS-Naproxen EC (Off-Formulary Interchangeable) 500mg Ent Tab	PMS	0.6894	N/A	YES	NO	YES
02017237	NAPROXEN	PMS-Naproxen 500mg Sup	PMS	0.9567	0.9567	YES	NO	YES
02455676	NITROFURANTOIN MONO/MICRO CRYSTALS	PMS-Nitrofurantoin 100mg Cap	PMS	0.5974	0.5974	YES	NO	NO
02303213	OLANZAPINE	PMS-Olanzapine ODT 15mg Rapid Dissolve Tab	PMS	1.0711	1.0711	YES	NO	NO
02303205	OLANZAPINE	PMS-Olanzapine ODT 10mg Rapid Dissolve Tab	PMS	0.7143	0.7143	YES	NO	NO
02303191	OLANZAPINE	PMS-Olanzapine ODT 5mg Rapid Dissolve Tab	PMS	0.3574	0.3574	YES	NO	NO
02303167	OLANZAPINE	PMS-Olanzapine 7.5mg Tab	PMS	0.5316	0.5316	YES	NO	NO
02303159	OLANZAPINE	PMS-Olanzapine 5mg Tab	PMS	0.3544	0.3544	YES	NO	NO
02303116	OLANZAPINE	PMS-Olanzapine 2.5mg Tab	PMS	0.1772	0.1772	YES	NO	NO
02367483	OLANZAPINE	PMS-Olanzapine (Off-Formulary Interchangeable) 20mg Tab	PMS	10.3093	N/A	YES	NO	NO
02303183	OLANZAPINE	PMS-Olanzapine 15mg Tab	PMS	1.0631	1.0631	YES	NO	NO
02303175	OLANZAPINE	PMS-Olanzapine 10mg Tab	PMS	0.7088	0.7088	YES	NO	NO
02461307	OLMESARTAN MEDOXOMIL	PMS-Olmesartan 20mg Tab	PMS	0.3019	0.3019	YES	NO	NO
02461315	OLMESARTAN MEDOXOMIL	PMS-Olmesartan 40mg Tab	PMS	0.3019	0.3019	YES	NO	NO
09857342	OMEPRAZOLE	PMS-Omeprazole DR Cap 20mg	PMS	0.2287	0.2287	YES	YES	NO
02320851	OMEPRAZOLE	PMS-Omeprazole DR Cap 20mg	PMS	0.2287	0.2287	YES	YES	NO
02519445	ONDANSETRON HYDROCHLORIDE	PMS-Ondansetron ODT Tablet 4mg	PMS	3.2720	2.5450	YES	YES	NO
02519453	ONDANSETRON HYDROCHLORIDE	PMS-Ondansetron ODT Tablet 8mg	PMS	4.9930	3.8840	YES	YES	NO
02258188	ONDANSETRON HYDROCHLORIDE	PMS-Ondansetron 4mg Tab	PMS	3.3495	2.5450	YES	YES	NO
02258196	ONDANSETRON HYDROCHLORIDE	PMS-Ondansetron 8mg Tab	PMS	5.1110	3.8840	YES	YES	NO
02223376	OXYBUTYNIN CHLORIDE	PMS-Oxybutynin 1mg/mL O/L	PMS	0.0970	0.0970	YES	NO	NO
02240550	OXYBUTYNIN CHLORIDE	PMS-Oxybutynin 5mg Tab	PMS	0.0986	0.0986	YES	NO	NO
02319993	OXYCODONE HCL	PMS-Oxycodone (Off-Formulary Interchangeable) 20mg Tab	PMS	0.6001	0.6001	YES	NO	YES
02319977	OXYCODONE HCL	PMS-Oxycodone (Off-Formulary Interchangeable) 5mg Tab	PMS	0.2333	0.2333	YES	NO	YES
02319985	OXYCODONE HCL	PMS-Oxycodone (Off-Formulary Interchangeable) 10mg Tab	PMS	0.3451	0.3451	YES	NO	YES
02307871	PANTOPRAZOLE SODIUM	PMS-Pantoprazole 40mg Ent Tab	PMS	0.2016	0.2016	YES	YES	NO
02247752	PAROXETINE HCL	PMS-Paroxetine 30mg Tab	PMS	0.3453	0.3453	YES	NO	NO
02247751	PAROXETINE HCL	PMS-Paroxetine 20mg Tab	PMS	0.3250	0.3250	YES	NO	NO
02247750	PAROXETINE HCL	PMS-Paroxetine (Off-Formulary Interchangeable) 10mg Tab	PMS	1.0430	N/A	YES	NO	NO
02525666	PAZOPANIB	PMS-Pazopanib (Off-Formulary Interchangeable) 200mg Tab	PMS	30.9655	30.9655	YES	NO	NO
02470683	PERINDOPRIL ERBUMINE	PMS-Perindopril 4mg Tab	PMS	0.2042	0.2042	YES	NO	NO
02470691	PERINDOPRIL ERBUMINE	PMS-Perindopril 8mg Tab	PMS	0.2831	0.2831	YES	NO	NO
02470675	PERINDOPRIL ERBUMINE	PMS-Perindopril 2mg Tab	PMS	0.1632	0.1632	YES	NO	NO
02537990	PERINDOPRIL ERBUMINE & INDAPAMIDE	PMS-Perindopril-Indapamide 2mg & 0.625mg Tab	PMS	0.4227	0.4227	YES	NO	NO
02538008	PERINDOPRIL ERBUMINE & INDAPAMIDE	PMS-Perindopril-Indapamide 4mg & 1.25mg Tab	PMS	0.2556	0.2556	YES	NO	NO
02537982	PERINDOPRIL ERBUMINE & INDAPAMIDE	PMS-Perindopril-Indapamide 8mg & 2.5mg Tab	PMS	0.2859	0.2859	YES	NO	NO
02303132	PIOGLITAZONE HCL	PMS-Pioglitazone (Off-Formulary Interchangeable) 30mg Tab	PMS	2.2017	2.2017	YES	NO	NO
02303140	PIOGLITAZONE HCL	PMS-Pioglitazone (Off-Formulary Interchangeable) 45mg Tab	PMS	3.3105	3.3105	YES	NO	NO
02303124	PIOGLITAZONE HCL	PMS-Pioglitazone (Off-Formulary Interchangeable) 15mg Tab	PMS	1.5716	1.5716	YES	NO	NO
02531526	PIRFENIDONE	PMS-Pirfenidone (Off-Formulary Interchangeable) 267mg Tab	PMS	6.7120	6.7120	YES	NO	NO
02531534	PIRFENIDONE	PMS-Pirfenidone (Off-Formulary Interchangeable) 801mg Tab	PMS	20.1360	20.1360	YES	NO	NO
02247657	PRAVASTATIN SODIUM	PMS-Pravastatin 40mg Tab	PMS	0.4143	0.4143	YES	NO	NO
02247656	PRAVASTATIN SODIUM	PMS-Pravastatin 20mg Tab	PMS	0.3440	0.3440	YES	NO	NO
02247655	PRAVASTATIN SODIUM	PMS-Pravastatin 10mg Tab	PMS	0.2916	0.2916	YES	NO	NO
02245532	PREDNISOLONE SODIUM PHOSPHATE	PMS-Prednisolone 6.7mg/5mL O/L	PMS	0.0900	0.0900	YES	NO	NO
02398079	PREGABALIN	PMS-Pregabalin (Off-Formulary Interchangeable) 225mg Cap	PMS	1.7270	N/A	YES	NO	NO
02359596	PREGABALIN	PMS-Pregabalin 25mg Cap	PMS	0.1481	0.1481	YES	NO	NO
02359618	PREGABALIN	PMS-Pregabalin 50mg Cap	PMS	0.2324	0.2324	YES	NO	NO
02359626	PREGABALIN	PMS-Pregabalin 75mg Cap	PMS	0.3007	0.3007	YES	NO	NO
02359642	PREGABALIN	PMS-Pregabalin 300mg Cap	PMS	0.4145	0.4145	YES	NO	NO
02359634	PREGABALIN	PMS-Pregabalin 150mg Cap	PMS	0.4145	0.4145	YES	NO	NO
02476576	PROGESTERONE	PMS-Progesterone (Off-Formulary Interchangeable) 100mg Cap	PMS	1.4358	1.4358	YES	NO	NO
00583979	PROMETHAZINE HCL	PMS-Promethazine (Not a Benefit) 2mg/mL O/L	PMS	N/A	N/A	YES	NO	NO
02294559	PROPAFENONE HCL	PMS-Propafenone 150mg Tab	PMS	0.2966	0.2966	YES	NO	NO
02294575	PROPAFENONE HCL	PMS-Propafenone 300mg Tab	PMS	0.5227	0.5227	YES	NO	NO
02296551	QUETIAPINE	PMS-Quetiapine 25mg Tab	PMS	0.0494	0.0494	YES	NO	NO
02296578	QUETIAPINE	PMS-Quetiapine 100mg Tab	PMS	0.1318	0.1318	YES	NO	NO
02296594	QUETIAPINE	PMS-Quetiapine 200mg Tab	PMS	0.2647	0.2647	YES	NO	NO
02296608	QUETIAPINE	PMS-Quetiapine 300mg Tab	PMS	0.3863	0.3863	YES	NO	NO
02340550	QUINAPRIL	PMS-Quinapril 5mg Tab	PMS	0.4642	0.4642	YES	NO	NO
02340569	QUINAPRIL	PMS-Quinapril 10mg Tab	PMS	0.2321	0.2321	YES	NO	NO
02340577	QUINAPRIL	PMS-Quinapril 20mg Tab	PMS	0.2321	0.2321	YES	NO	NO
02340585	QUINAPRIL	PMS-Quinapril 40mg Tab	PMS	0.2321	0.2321	YES	NO	NO
02310813	RABEPRAZOLE SODIUM	PMS-Rabeprazole EC 20mg Tab	PMS	0.1338	0.1338	YES	NO	NO
02310805	RABEPRAZOLE SODIUM	PMS-Rabeprazole EC 10mg Tab	PMS	0.0669	0.0669	YES	NO	NO
02295369	RAMIPRIL	PMS-Ramipril Cap 1.25mg	PMS	0.0708	0.0708	YES	NO	NO
02247917	RAMIPRIL	PMS-Ramipril Cap 2.5mg	PMS	0.0817	0.0817	YES	NO	NO
02247918	RAMIPRIL	PMS-Ramipril Cap 5mg	PMS	0.0817	0.0817	YES	NO	NO
02247919	RAMIPRIL	PMS-Ramipril Cap 10mg	PMS	0.1034	0.1034	YES	NO	NO
02469057	RAMIPRIL	Pharma-Ramipril 1.25mg	PMS	0.0708	0.0708	YES	NO	NO
02469065	RAMIPRIL	Pharma-Ramipril 2.5mg	PMS	0.0817	0.0817	YES	NO	NO
02469073	RAMIPRIL	Pharma-Ramipril 5mg	PMS	0.0817	0.0817	YES	NO	NO
02469081	RAMIPRIL	Pharma-Ramipril 10mg	PMS	0.1034	0.1034	YES	NO	NO
02342170	RAMIPRIL & HYDROCHLOROTHIAZIDE	PMS-Ramipril-HCTZ 10mg & 25mg Tab	PMS	0.2634	0.2634	YES	NO	NO
02342154	RAMIPRIL & HYDROCHLOROTHIAZIDE	PMS-Ramipril-HCTZ 10mg & 12.5mg Tab	PMS	0.2634	0.2634	YES	NO	NO
02242453	RANITIDINE HCL	PMS-Ranitidine 150mg Tab	PMS	0.1197	0.1197	YES	NO	NO
02242454	RANITIDINE HCL	PMS-Ranitidine 300mg Tab	PMS	0.2253	0.2253	YES	NO	NO
02424177	RISEDRONATE SODIUM	PMS-Risedronate 150mg Tab	PMS	11.1875	11.1875	YES	NO	NO
02302209	RISEDRONATE SODIUM	PMS-Risedronate 35mg Tab	PMS	1.6764	1.6764	YES	NO	NO
02279266	RISPERIDONE	PMS-Risperidone 1mg/mL O/L	PMS	0.7080	0.7080	YES	NO	NO
02252066	RISPERIDONE	PMS-Risperidone 4mg Tab	PMS	0.8111	0.8111	YES	NO	NO
02252058	RISPERIDONE	PMS-Risperidone 3mg Tab	PMS	0.6083	0.6083	YES	NO	NO
02252031	RISPERIDONE	PMS-Risperidone 2mg Tab	PMS	0.4062	0.4062	YES	NO	NO
02252023	RISPERIDONE	PMS-Risperidone 1mg Tab	PMS	0.2031	0.2031	YES	NO	NO
02252007	RISPERIDONE	PMS-Risperidone 0.25mg Tab	PMS	0.0878	0.0878	YES	NO	NO
02252015	RISPERIDONE	PMS-Risperidone 0.5mg Tab	PMS	0.1470	0.1470	YES	NO	NO
02527537	RIVAROXABAN	PMS-Rivaroxaban 2.5mg Tab	PMS	0.3550	0.3550	YES	YES	NO
02512041	RIVAROXABAN	PMS-Rivaroxaban 10mg Tab	PMS	0.7175	0.7175	YES	YES	NO
02512068	RIVAROXABAN	PMS-Rivaroxaban 15mg Tab	PMS	0.7175	0.7175	YES	YES	NO
02512076	RIVAROXABAN	PMS-Rivaroxaban 20mg Tab	PMS	0.7175	0.7175	YES	YES	NO
02306050	RIVASTIGMINE	PMS-Rivastigmine 4.5mg Cap	PMS	0.6515	0.6514	YES	YES	NO
02306034	RIVASTIGMINE	PMS-Rivastigmine 1.5mg Cap	PMS	0.6515	0.6514	YES	YES	NO
02393360	RIZATRIPTAN	PMS-Rizatriptan RDT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	PMS	11.1150	11.1150	YES	NO	NO
02393379	RIZATRIPTAN	PMS-Rizatriptan RDT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	PMS	11.1150	11.1150	YES	NO	NO
02326620	ROPINIROLE	PMS-Ropinirole 2mg Tab	PMS	0.3122	0.3122	YES	NO	NO
02326612	ROPINIROLE	PMS-Ropinirole 1mg Tab	PMS	0.2838	0.2838	YES	NO	NO
02326590	ROPINIROLE	PMS-Ropinirole 0.25mg Tab	PMS	0.0710	0.0710	YES	NO	NO
02378566	ROSUVASTATIN CALCIUM	PMS-Rosuvastatin 40mg Tab	PMS	0.1990	0.1990	YES	NO	NO
02378523	ROSUVASTATIN CALCIUM	PMS-Rosuvastatin 5mg Tab	PMS	0.1284	0.1284	YES	NO	NO
02378558	ROSUVASTATIN CALCIUM	PMS-Rosuvastatin 20mg Tab	PMS	0.1692	0.1692	YES	NO	NO
02378531	ROSUVASTATIN CALCIUM	PMS-Rosuvastatin 10mg Tab	PMS	0.1354	0.1354	YES	NO	NO
02208229	SALBUTAMOL	PMS-Salbutamol 1mg/mL Inh Sol- 2.5mL Pk	PMS	0.3617	0.3617	YES	YES	NO
02208237	SALBUTAMOL	PMS-Salbutamol 2mg/mL Inh Sol- 2.5mL Pk	PMS	0.6750	0.6750	YES	YES	NO
02494523	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	PMS-FluticasonePropionateSalmeterol DPI 50/500mcg Inh-60 Dose Pk	PMS	72.0600	72.0600	YES	YES	NO
02494515	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	PMS-FluticasonePropionateSalmeterol DPI 50/250mcg Inh-60 Dose Pk	PMS	50.7600	50.7600	YES	YES	NO
02494507	SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE	PMS-FluticasonePropionateSalmeterol DPI 50/100mcg Inh-60 Dose Pk	PMS	42.4050	42.4050	YES	YES	NO
02244840	SERTRALINE HCL	PMS-Sertraline 100mg Cap	PMS	0.3303	0.3303	YES	NO	YES
02244838	SERTRALINE HCL	PMS-Sertraline 25mg Cap	PMS	0.1516	0.1516	YES	NO	YES
02244839	SERTRALINE HCL	PMS-Sertraline 50mg Cap	PMS	0.3032	0.3032	YES	NO	YES
02412179	SILDENAFIL	PMS-Sildenafil R (Off-Formulary Interchangeable) 20mg Tab	PMS	7.2940	7.2940	YES	NO	NO
02317575	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 50mg Tab	PMS	8.8481	8.8481	YES	NO	NO
02317583	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 100mg Tab	PMS	9.2006	9.2006	YES	NO	NO
02317559	SILDENAFIL	Sildenafil (Off-Formulary Interchangeable) 25mg Tab	PMS	8.2894	8.2894	YES	NO	NO
02517779	SILODOSIN	PMS-Silodosin 4mg Cap	PMS	0.4742	0.4742	YES	YES	NO
02517787	SILODOSIN	PMS-Silodosin 8mg Cap	PMS	0.4742	0.4742	YES	YES	NO
02269295	SIMVASTATIN	PMS-Simvastatin 80mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02269287	SIMVASTATIN	PMS-Simvastatin 40mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02269279	SIMVASTATIN	PMS-Simvastatin 20mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02269260	SIMVASTATIN	PMS-Simvastatin 10mg Tab	PMS	0.2023	0.2023	YES	NO	NO
02269252	SIMVASTATIN	PMS-Simvastatin 5mg Tab	PMS	0.1023	0.1023	YES	NO	NO
02470004	SIMVASTATIN	Pharma-Simvastatin 40mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02470012	SIMVASTATIN	Pharma-Simvastatin 80mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02469987	SIMVASTATIN	Pharma-Simvastatin 10mg Tab	PMS	0.2023	0.2023	YES	NO	NO
02469979	SIMVASTATIN	Pharma-Simvastatin 5mg Tab	PMS	0.1023	0.1023	YES	NO	NO
02469995	SIMVASTATIN	Pharma-Simvastatin 20mg Tab	PMS	0.2501	0.2501	YES	NO	NO
02417723	SOLIFENACIN SUCCINATE	PMS-Solifenacin 5mg Tab	PMS	0.3041	0.3041	YES	YES	NO
02417731	SOLIFENACIN SUCCINATE	PMS-Solifenacin 10mg Tab	PMS	0.3041	0.3041	YES	YES	NO
02238326	SOTALOL HCL	PMS-Sotalol 80mg Tab	PMS	0.2966	0.2966	YES	NO	NO
02238327	SOTALOL HCL	PMS-Sotalol 160mg Tab	PMS	0.1623	0.1623	YES	NO	NO
00598488	SULFASALAZINE	PMS-Sulfasalazine-E.C. 500mg Ent Tab	PMS	0.3863	0.3863	YES	NO	NO
00598461	SULFASALAZINE	PMS-Sulfasalazine 500mg Tab	PMS	0.2533	0.2533	YES	NO	NO
02256428	SUMATRIPTAN SUCCINATE	PMS-Sumatriptan (Off-Formulary Interchangeable) 25mg Tab	PMS	8.9900	8.9900	YES	NO	NO
02256436	SUMATRIPTAN SUCCINATE	PMS-Sumatriptan (Off-Formulary Interchangeable) 50mg Tab	PMS	9.0650	9.0650	YES	NO	NO
02256444	SUMATRIPTAN SUCCINATE	PMS-Sumatriptan (Off-Formulary Interchangeable) 100mg Tab	PMS	9.9867	9.9867	YES	NO	NO
02409445	TADALAFIL	PMS-Tadalafil (Off-Formulary Interchangeable) 20mg Tab	PMS	12.3569	12.3569	YES	NO	NO
02409437	TADALAFIL	PMS-Tadalafil (Off-Formulary Interchangeable) 10mg Tab	PMS	11.9255	11.9255	YES	NO	NO
02409429	TADALAFIL	PMS-Tadalafil (Off-Formulary Interchangeable) 5mg Tab	PMS	3.6471	3.6471	YES	NO	NO
02409410	TADALAFIL	PMS-Tadalafil (Off-Formulary Interchangeable) 2.5mg Tab	PMS	3.6471	3.6471	YES	NO	NO
02499630	TELMISARTAN	PMS-Telmisartan 80mg Tab	PMS	0.2161	0.2161	YES	NO	NO
02499622	TELMISARTAN	PMS-Telmisartan 40mg Tab	PMS	0.2161	0.2161	YES	NO	NO
02432900	TELMISARTAN	Telmisartan 80mg Tab	PMS	0.2161	0.2161	YES	NO	NO
02432897	TELMISARTAN	Telmisartan 40mg Tab	PMS	0.2161	0.2161	YES	NO	NO
02453940	TENOFOVIR DISOPROXIL	PMS-Tenofovir 300mg Tab	PMS	4.8884	4.8884	YES	YES	NO
02243519	TERAZOSIN HCL	PMS-Terazosin 2mg Tab	PMS	0.5005	0.5005	YES	NO	NO
02243521	TERAZOSIN HCL	PMS-Terazosin 10mg Tab	PMS	0.9950	0.9950	YES	NO	NO
02243518	TERAZOSIN HCL	PMS-Terazosin 1mg Tab	PMS	0.3938	0.3938	YES	NO	NO
02243520	TERAZOSIN HCL	PMS-Terazosin 5mg Tab	PMS	0.3168	0.3168	YES	NO	NO
02294273	TERBINAFINE HCL	PMS-Terbinafine 250mg Tab	PMS	0.7714	0.7714	YES	NO	NO
02500434	TERIFLUNOMIDE	PMS-Teriflunomide 14mg Tab	PMS	14.9300	14.9300	YES	YES	NO
02322498	TESTOSTERONE UNDECANOATE	PMS-Testosterone 40mg Cap	PMS	0.4700	0.4700	YES	YES	NO
02402424	TETRABENAZINE	PMS-Tetrabenazine (Off-Formulary Interchangeable) 25mg Tab	PMS	4.8551	4.8551	YES	NO	NO
02230828	TIAPROFENIC ACID	PMS-Tiaprofenic (Not a Benefit) 300mg Tab	PMS	N/A	N/A	YES	NO	YES
02083345	TIMOLOL MALEATE	PMS-Timolol 0.5% Oph Sol	PMS	1.2145	1.2145	YES	NO	YES
02522799	TOFACITINIB	PMS-Tofacitinib 5mg Tab	PMS	5.9897	5.9897	YES	YES	NO
02263009	TOPIRAMATE	PMS-Topiramate 100mg Tab	PMS	0.4583	0.4583	YES	NO	NO
02263017	TOPIRAMATE	PMS-Topiramate 200mg Tab	PMS	0.6748	0.6748	YES	NO	NO
02262991	TOPIRAMATE	PMS-Topiramate 25mg Tab	PMS	0.2433	0.2433	YES	NO	NO
02401657	TRAMADOL HCL & ACETAMINOPHEN	PMS-Tramadol-Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab	PMS	0.6264	N/A	YES	NO	YES
02357771	TRANDOLAPRIL	PMS-Trandolapril 2mg Cap	PMS	0.2025	0.2025	YES	NO	NO
02357763	TRANDOLAPRIL	PMS-Trandolapril 1mg Cap	PMS	0.1762	0.1762	YES	NO	NO
02357755	TRANDOLAPRIL	PMS-Trandolapril (Off-Formulary Interchangeable) 0.5mg Cap	PMS	0.2372	N/A	YES	NO	NO
02357798	TRANDOLAPRIL	PMS-Trandolapril 4mg Cap	PMS	0.2498	0.2498	YES	NO	NO
01937235	TRAZODONE HYDROCHLORIDE	PMS-Trazodone 100mg Tab	PMS	0.0989	0.0989	YES	NO	NO
01937227	TRAZODONE HYDROCHLORIDE	PMS-Trazodone 50mg Tab	PMS	0.0554	0.0554	YES	NO	NO
02273500	URSODIOL	PMS-Ursodiol C 500mg Tab	PMS	0.7242	0.7242	YES	YES	NO
02273497	URSODIOL	PMS-Ursodiol C 250mg Tab	PMS	0.3818	0.3818	YES	YES	NO
02381230	VALACYCLOVIR	PMS-Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	PMS	5.8537	N/A	YES	NO	NO
02298457	VALACYCLOVIR	PMS-Valacyclovir 500mg Tab	PMS	0.6198	0.6198	YES	NO	NO
02236807	VALPROATE SODIUM	PMS-Valproic Acid 50mg/mL O/L	PMS	0.0398	0.0398	YES	NO	NO
02230768	VALPROIC ACID	PMS-Valproic Acid 250mg Cap	PMS	0.2905	0.2905	YES	NO	NO
02229628	VALPROIC ACID	PMS-Valproic Acid 500mg Ent Cap	PMS	0.8102	0.8102	YES	NO	NO
02278545	VENLAFAXINE HCL	PMS-Venlafaxine XR 37.5mg ER Cap	PMS	0.0913	0.0913	YES	NO	NO
02278553	VENLAFAXINE HCL	PMS-Venlafaxine XR 75mg ER Cap	PMS	0.1825	0.1825	YES	NO	NO
02278561	VENLAFAXINE HCL	PMS-Venlafaxine XR 150mg ER Cap	PMS	0.1927	0.1927	YES	NO	NO
02521474	VENLAFAXINE HCL	PMSC-Venlafaxine XR 150mg ER Cap	PMS	0.1927	0.1927	YES	NO	NO
02521466	VENLAFAXINE HCL	PMSC-Venlafaxine XR 37.5mg ER Cap	PMS	0.0913	0.0913	YES	NO	NO
02521482	VENLAFAXINE HCL	PMSC-Venlafaxine XR 75mg ER Cap	PMS	0.1825	0.1825	YES	NO	NO
02324768	ZOLMITRIPTAN	PMS-Zolmitriptan ODT (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab	PMS	6.8625	6.8625	YES	NO	NO
02324229	ZOLMITRIPTAN	PMS-Zolmitriptan (Off-Formulary Interchangeable) 2.5mg Tab	PMS	6.8586	6.8586	YES	NO	NO
02436183	ZOLPIDEM TARTRATE	PMS-Zolpidem ODT (Off-Formulary Interchangeable) 10mg SL Tab	PMS	1.1883	N/A	YES	NO	NO
02436175	ZOLPIDEM TARTRATE	PMS-Zolpidem ODT (Off-Formulary Interchangeable) 5mg SL Tab	PMS	1.1827	N/A	YES	NO	NO
02240606	ZOPICLONE	PMS-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	PMS	0.4685	0.4685	YES	NO	NO
02243426	ZOPICLONE	PMS-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	PMS	0.2231	0.2231	YES	NO	NO

New Search