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Products found: 40New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02270889ALENDRONATERiva-Alendronate 70mg TabRIA1.78041.7804YESNONO
02247217AMIODARONE HCLRiva-Amiodarone 200mg TabRIA0.37060.3706YESNONO
02392259ANASTROZOLERiva-Anastrozole 1mg TabRIA0.95220.9522YESNONO
02475057ATORVASTATIN CALCIUMAtorvastatin 80mg TabRIA0.23420.2342YESNONO
02475049ATORVASTATIN CALCIUMAtorvastatin 40mg TabRIA0.23420.2342YESNONO
02475030ATORVASTATIN CALCIUMAtorvastatin 20mg TabRIA0.21790.2179YESNONO
02475022ATORVASTATIN CALCIUMAtorvastatin 10mg TabRIA0.17430.1743YESNONO
02275309AZITHROMYCINRiva-Azithromycin 250mg TabRIA0.94100.9410YESNOYES
02303264CITALOPRAM HYDROBROMIDERiva-Citalopram 20mg TabRIA0.13320.1332YESNONO
02303272CITALOPRAM HYDROBROMIDERiva-Citalopram 40mg TabRIA0.13320.1332YESNONO
02346532CLARITHROMYCINRiva-Clarithromycin (Off-Formulary Interchangeable) 500mg TabRIA2.2009N/AYESNOYES
02468484CLINDAMYCIN HCLRiva-Clindamycin 300mg CapRIA0.44340.4434YESNONO
02468476CLINDAMYCIN HCLRiva-Clindamycin 150mg CapRIA0.22170.2217YESNONO
02489058DAPSONERiva-Dapsone 100mg TabRIA0.70310.7031YESNONO
02475278DONEPEZIL HCLDonepezil 5mg TabRIA0.45860.4586YESYESNO
02475286DONEPEZIL HCLDonepezil 10mg TabRIA0.45860.4586YESYESNO
02441659DORZOLAMIDE HCL & TIMOLOL MALEATERiva-Dorzolamide/Timolol 2% & 0.5% Oph SolRIA2.09512.0951YESYESNO
02455013FINASTERIDERiva-Finasteride 5mg TabRIA0.35060.3506YESYESNO
02489406LABETALOL HCLRiva-Labetalol 100mg TabRIA0.19830.1983YESNONO
02489414LABETALOL HCLRiva-Labetalol 200mg TabRIA0.35040.3504YESNONO
02341085LATANOPROSTRiva-Latanoprost 0.005% Oph Sol-2.5mL PkRIA9.58309.5830YESYESNO
02398656LETROZOLERiva-Letrozole 2.5mg TabRIA1.37801.3780YESNONO
02493357LEUCOVORIN CALCIUMRiva Leucovorin 5mg TabRIA3.67763.6776YESNONO
02482290LEVETIRACETAMRiva-Levetiracetam 750mg TabRIA0.54160.5416YESYESNO
02482282LEVETIRACETAMRiva-Levetiracetam 500mg TabRIA0.39110.3911YESYESNO
02482274LEVETIRACETAMRiva-Levetiracetam 250mg TabRIA0.32100.3210YESYESNO
02492741LEVOFLOXACINRiva-Levofloxacin (Off-Formulary Interchangeable) 750mg TabRIA6.5484N/AYESNONO
02492733LEVOFLOXACINRiva-Levofloxacin 500mg TabRIA1.37181.3718YESNONO
02492725LEVOFLOXACINRiva-Levofloxacin 250mg TabRIA1.20381.2038YESNONO
02495643PYRIDOSTIGMINE BROMIDERiva-Pyridostigmine 60mg TabRIA0.26730.2673YESNONO
02255332RAMIPRILRamipril Cap (Not a Benefit) 10mgRIAN/AN/AYESNONO
02299372RAMIPRILRamipril Cap (Not a Benefit) 1.25mgRIAN/AN/AYESNONO
02255324RAMIPRILRamipril Cap (Not a Benefit) 5mgRIAN/AN/AYESNONO
02255316RAMIPRILRamipril Cap (Not a Benefit) 2.5mgRIAN/AN/AYESNONO
02341077RISEDRONATE SODIUMRiva-Risedronate 35mg TabRIA1.67641.6764YESNONO
02452413SILDENAFILRiva-Sildenafil (Off-Formulary Interchangeable) 100mg TabRIA9.20069.2006YESNONO
02454726TADALAFILRiva-Tadalafil (Off-Formulary Interchangeable) 5mg TabRIA3.64713.6471YESNONO
02454742TADALAFILRiva-Tadalafil (Off-Formulary Interchangeable) 20mg TabRIA12.356912.3569YESNONO
02278049ZOPICLONERiva-Zopiclone (Off-Formulary Interchangeable) 7.5mg TabRIA0.46850.4685YESNONO
02278030ZOPICLONERiva-Zopiclone (Off-Formulary Interchangeable) 5mg TabRIA0.22310.2231YESNONO