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Products found: 329New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02352966ALENDRONATEAlendronate 70mg TabSAI1.78041.7804YESNONO
02519844ALFUZOSIN HYDROCHLORIDEAlfuzosin 10mg Prolong-Rel TabSAI0.26010.2601YESYESNO
02466821ALMOTRIPTANAlmotriptan (Off-Formulary Interchangeable) 12.5mg TabSAI9.78339.7833YESNONO
02364336AMIODARONE HCLAmiodarone 200mg TabSAI0.37060.3706YESNOYES
02331284AMLODIPINEAmlodipine 5mg TabSAI0.13430.1343YESNONO
02331292AMLODIPINEAmlodipine 10mg TabSAI0.19930.1993YESNONO
02525348AMOXICILLINAmoxicillin Capsules BP 250mg CapSAI0.06720.0672YESNONO
02525356AMOXICILLINAmoxicillin Capsules BP 500mg CapSAI0.13080.1308YESNONO
02352753AMOXICILLINAmoxicillin 50mg/mL O/LSAI0.05400.0540YESNONO
02352788AMOXICILLINAmoxicillin (Sugar Reduced) 50mg/mL O/LSAI0.05400.0540YESNONO
02536021AMOXICILLIN & CLAVULANIC ACIDAmoxicillin/Clav 500mg & 125mg TabSAI0.37780.3778YESNOYES
02536048AMOXICILLIN & CLAVULANIC ACIDAmoxicillin/Clav 875mg & 125mg TabSAI0.55510.5551YESNOYES
02442736ANASTROZOLEAnastrozole 1mg TabSAI0.95220.9522YESNONO
02506785ARIPIPRAZOLEAripiprazole 30mg TabSAI1.00171.0017YESNOYES
02506750ARIPIPRAZOLEAripiprazole 20mg TabSAI1.00171.0017YESNOYES
02506734ARIPIPRAZOLEAripiprazole 15mg TabSAI1.26921.2692YESNOYES
02506726ARIPIPRAZOLEAripiprazole 10mg TabSAI1.07541.0754YESNOYES
02506718ARIPIPRAZOLEAripiprazole 5mg TabSAI0.90460.9046YESNOYES
02506688ARIPIPRAZOLEAripiprazole 2mg TabSAI0.80920.8092YESNOYES
02466465ATENOLOLAtenolol 50mg TabSAI0.09380.0938YESNONO
02466473ATENOLOLAtenolol 100mg TabSAI0.15430.1543YESNONO
02467801ATOMOXETINE HCLAtomoxetine (Off-Formulary Interchangeable) 80mg CapSAI3.9960N/AYESNONO
02467828ATOMOXETINE HCLAtomoxetine (Off-Formulary Interchangeable) 100mg CapSAI4.3520N/AYESNONO
02467798ATOMOXETINE HCLAtomoxetine 60mg CapSAI0.80920.8092YESNONO
02467771ATOMOXETINE HCLAtomoxetine 40mg CapSAI0.73690.7369YESNONO
02467763ATOMOXETINE HCLAtomoxetine 25mg CapSAI0.64200.6420YESNONO
02467755ATOMOXETINE HCLAtomoxetine 18mg CapSAI0.57480.5748YESNONO
02467747ATOMOXETINE HCLAtomoxetine 10mg CapSAI0.51060.5106YESNONO
02348705ATORVASTATIN CALCIUMAtorvastatin 10mg TabSAI0.17430.1743YESNONO
02348713ATORVASTATIN CALCIUMAtorvastatin 20mg TabSAI0.21790.2179YESNONO
02348721ATORVASTATIN CALCIUMAtorvastatin 40mg TabSAI0.23420.2342YESNONO
02348748ATORVASTATIN CALCIUMAtorvastatin 80mg TabSAI0.23420.2342YESNONO
02421429ATOVAQUONE & PROGUANIL HCLAtovaquone Proguanil (Off-Formulary Interchangeable) 250mg & 100mg TabSAI4.13084.1308YESNONO
02330881AZITHROMYCINAzithromycin 250mg TabSAI0.94100.9410YESNOYES
02287021BACLOFENBaclofen 10mg TabSAI0.15950.1595YESNOYES
02287048BACLOFENBaclofen 20mg TabSAI0.31040.3104YESNOYES
02466449BETAHISTINE DIHYDROCHLORIDEBetahistine (Off-Formulary Interchangeable) 16mg TabSAI0.35570.3557YESNONO
02466457BETAHISTINE DIHYDROCHLORIDEBetahistine (Off-Formulary Interchangeable) 24mg TabSAI0.4983N/AYESNONO
02519178BICALUTAMIDEBicalutamide 50mg TabSAI1.26901.2690YESNONO
02391597BISOPROLOL FUMARATEBisoprolol 10mg TabSAI0.08850.0885YESNONO
02391589BISOPROLOL FUMARATEBisoprolol 5mg TabSAI0.06060.0606YESNONO
02447851BUSPIRONE HYDROCHLORIDEBuspirone 10mg TabSAI0.27130.2713YESNONO
02388901CANDESARTAN CILEXETILCandesartan 4mg TabSAI0.17000.1700YESNONO
02388928CANDESARTAN CILEXETILCandesartan 8mg TabSAI0.22810.2281YESNONO
02388936CANDESARTAN CILEXETILCandesartan 16mg TabSAI0.22810.2281YESNONO
02435845CANDESARTAN CILEXETILCandesartan 32mg TabSAI0.22810.2281YESNONO
02394804CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDECandesartan/HCTZ 16mg & 12.5mg TabSAI0.21560.2156YESNONO
02536064CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDECandesartan/HCTZ 32mg & 12.5mg TabSAI0.21560.2156YESNONO
02514990CAPECITABINECapecitabine 500mg TabSAI1.52501.5250YESNONO
02514982CAPECITABINECapecitabine 150mg TabSAI0.45750.4575YESNONO
02364956CARVEDILOLCarvedilol 25mg TabSAI0.20600.2060YESYESNO
02364948CARVEDILOLCarvedilol 12.5mg TabSAI0.20600.2060YESYESNO
02364913CARVEDILOLCarvedilol 3.125mg TabSAI0.20600.2060YESYESNO
02364921CARVEDILOLCarvedilol 6.25mg TabSAI0.20600.2060YESYESNO
02436299CELECOXIBCelecoxib 100mg CapSAI0.12790.1279YESYESYES
02436302CELECOXIBCelecoxib 200mg CapSAI0.25580.2558YESYESYES
02521261CEPHALEXIN MONOHYDRATECephalexin 500mg TabSAI0.17310.1731YESNONO
02521253CEPHALEXIN MONOHYDRATECephalexin 250mg TabSAI0.08660.0866YESNONO
02515695CETIRIZINE HYDROCHLORIDECetirizine (Off-Formulary Interchangeable) 20mg TabSAI0.7535N/AYESNONO
02524880CINACALCETCinacalcet (Off-Formulary Interchangeable) 30mg TabSAI10.194710.1947YESNONO
02353326CIPROFLOXACINCiprofloxacin 500mg TabSAI0.50250.5025YESNOYES
02353318CIPROFLOXACINCiprofloxacin 250mg TabSAI0.44540.4454YESNOYES
02353679CITALOPRAM HYDROBROMIDECitalopram 40mg TabSAI0.13320.1332YESNONO
02353660CITALOPRAM HYDROBROMIDECitalopram 20mg TabSAI0.13320.1332YESNONO
02466120CLARITHROMYCINClarithromycin 250mg TabSAI0.41220.4122YESNOYES
02466139CLARITHROMYCINClarithromycin (Off-Formulary Interchangeable) 500mg TabSAI2.2009N/AYESNOYES
02400537CLINDAMYCIN HCLClindamycin 300mg CapSAI0.44340.4434YESNONO
02400529CLINDAMYCIN HCLClindamycin 150mg CapSAI0.22170.2217YESNONO
02400553CLOPIDOGREL BISULFATEClopidogrel 75mg TabSAI0.26310.2631YESNONO
02287064CYCLOBENZAPRINE HCLCyclobenzaprine (Not a Benefit) 10mg TabSAIN/AN/AYESNOYES
02535114DESVENLAFAXINEDesvenlafaxine (Off-Formulary Interchangeable) 100mg ER TabSAI2.3409N/AYESNONO
02535106DESVENLAFAXINEDesvenlafaxine (Off-Formulary Interchangeable) 50mg ER TabSAI2.3409N/AYESNONO
02400456DILTIAZEM HCLDiltiazem CD 240mg LA CapSAI0.63990.6399YESNONO
02400464DILTIAZEM HCLDiltiazem CD 300mg LA CapSAI0.79990.7999YESNONO
02400448DILTIAZEM HCLDiltiazem CD 180mg LA CapSAI0.48240.4824YESNONO
02400421DILTIAZEM HCLDiltiazem CD 120mg LA CapSAI0.36340.3634YESNONO
02516152DILTIAZEM HCLDiltiazem T 360mg SR CapSAI0.57780.5778YESNONO
02516101DILTIAZEM HCLDiltiazem T 120mg SR CapSAI0.21330.2133YESNONO
02516128DILTIAZEM HCLDiltiazem T 180mg SR CapSAI0.28890.2889YESNONO
02516144DILTIAZEM HCLDiltiazem T 300mg SR CapSAI0.47200.4720YESNONO
02516136DILTIAZEM HCLDiltiazem T 240mg SR CapSAI0.38320.3832YESNONO
02350440DOMPERIDONE MALEATEDomperidone 10mg TabSAI0.04280.0428YESNONO
02426854DONEPEZIL HCLDonepezil 10mg TabSAI0.45860.4586YESYESNO
02426846DONEPEZIL HCLDonepezil 5mg TabSAI0.45860.4586YESYESNO
02351242DOXYCYCLINE HYCLATEDoxycycline Tablets 100mg TabSAI0.45600.4560YESNONO
02490889DULOXETINEDuloxetine 30mg DR CapSAI0.48140.3611YESNONO
02490897DULOXETINEDuloxetine 60mg DR CapSAI0.97690.7327YESNONO
02443058DUTASTERIDEDutasteride 0.5mg CapSAI0.25650.2565YESYESNO
02511274ELETRIPTANEletriptan (Off-Formulary Interchangeable) 40mg TabSAI10.0850N/AYESNONO
02511266ELETRIPTANEletriptan (Off-Formulary Interchangeable) 20mg TabSAI10.0850N/AYESNONO
02400677ENALAPRIL MALEATEEnalapril 10mg TabSAI0.26470.2647YESNONO
02400669ENALAPRIL MALEATEEnalapril 5mg TabSAI0.22030.2203YESNONO
02400650ENALAPRIL MALEATEEnalapril 2.5mg TabSAI0.18630.1863YESNONO
02400685ENALAPRIL MALEATEEnalapril 20mg TabSAI0.31950.3195YESNONO
02527154ENTECAVIREntecavir 0.5mg TabSAI5.50004.4000YESYESNO
02430118ESCITALOPRAMEscitalopram 10mg TabSAI0.31090.3109YESNONO
02430126ESCITALOPRAMEscitalopram 20mg TabSAI0.33100.3310YESNONO
02431173ESOMEPRAZOLEEsomeprazole DR Tab (Off-Formulary Interchangeable) 40mgSAI1.8690N/AYESNONO
02535335ESOMEPRAZOLEEsomeprazole (Off-Formulary Interchangeable) 20mg DR TabSAI1.8690N/AYESNONO
02431300EZETIMIBEEzetimibe 10mg TabSAI0.18110.1811YESYESNO
02539837FEBUXOSTATFebuxostat (Off-Formulary Interchangeable) 80mg TabSAI1.35151.3515YESNONO
02445077FINASTERIDEFinasteride 5mg TabSAI0.35060.3506YESYESNO
02445085FINASTERIDEFinasteride (Off-Formulary Interchangeable) 1mg TabSAI1.1453N/AYESNONO
02534819FLECAINIDE ACETATEFlecainide 100mg TabSAI0.27790.2779YESNONO
02534800FLECAINIDE ACETATEFlecainide 50mg TabSAI0.13890.1389YESNONO
02521229FLUCONAZOLEFluconazole-150 150mg CapSAI3.94243.9424YESYESYES
02517418FLUCONAZOLEFluconazole 100mg TabSAI2.28912.2891YESNONO
02517396FLUCONAZOLEFluconazole 50mg TabSAI1.29041.2904YESNONO
02286068FLUOXETINE HCLFluoxetine (Off-Formulary Interchangeable) 10mg CapSAI1.1773N/AYESNOYES
02286076FLUOXETINE HCLFluoxetine 20mg CapSAI0.33110.3311YESNOYES
02459388FOSINOPRIL SODIUMFosinopril 10mg TabSAI0.21780.2178YESNONO
02459396FOSINOPRIL SODIUMFosinopril 20mg TabSAI0.26190.2619YESNONO
02535475FROVATRIPTAN SUCCINATEFrovatriptan (Off-Formulary Interchangeable) 2.5mg TabSAI12.5033N/AYESNONO
02351420FUROSEMIDEFurosemide 20mg TabSAI0.02180.0218YESNONO
02351439FUROSEMIDEFurosemide 40mg TabSAI0.03270.0327YESNONO
02353261GABAPENTINGabapentin 400mg CapSAI0.12060.1206YESNONO
02353253GABAPENTINGabapentin 300mg CapSAI0.10120.1012YESNONO
02353245GABAPENTINGabapentin 100mg CapSAI0.04160.0416YESNONO
02431289GABAPENTINGabapentin (Off-Formulary Interchangeable) 600mg TabSAI1.3045N/AYESNONO
02431297GABAPENTINGabapentin (Off-Formulary Interchangeable) 800mg TabSAI1.7393N/AYESNONO
02443015GALANTAMINE HYDROBROMIDEGalantamine ER 8mg ER CapSAI1.24651.2465YESYESNO
02443023GALANTAMINE HYDROBROMIDEGalantamine ER 16mg ER CapSAI1.24651.2465YESYESNO
02443031GALANTAMINE HYDROBROMIDEGalantamine ER 24mg ER CapSAI1.24651.2465YESYESNO
02524864GLICLAZIDEGliclazide MR 60mg ER TabSAI0.06320.0632YESNONO
02524856GLICLAZIDEGliclazide MR 30mg SR TabSAI0.09310.0931YESNONO
02287072GLICLAZIDEGliclazide 80mg TabSAI0.09310.0931YESNONO
02350467GLYBURIDEGlyburide 5mg TabSAI0.05730.0573YESNONO
02350459GLYBURIDEGlyburide 2.5mg TabSAI0.03210.0321YESNONO
02539802HYDRALAZINE HCLHydralazine 10mg TabSAI0.03550.0355YESNONO
02539829HYDRALAZINE HCLHydralazine 50mg TabSAI0.09560.0956YESNONO
02539810HYDRALAZINE HCLHydralazine 25mg TabSAI0.06090.0609YESNONO
02519348HYDROXYCHLOROQUINE SULFATEHydroxychloroquine 200mg TabSAI0.15760.1576YESNONO
02504596IMATINIB MESYLATEImatinib 100mg TabSAI5.20795.2079YESNOYES
02504618IMATINIB MESYLATEImatinib 400mg TabSAI20.831420.8314YESNOYES
02372347IRBESARTANIrbesartan 75mg TabSAI0.22810.2281YESNONO
02372371IRBESARTANIrbesartan 150mg TabSAI0.22810.2281YESNONO
02372398IRBESARTANIrbesartan 300mg TabSAI0.22810.2281YESNONO
02372886IRBESARTAN & HYDROCHLOROTHIAZIDEIrbesartan/HCTZ 150mg & 12.5mg TabSAI0.22810.2281YESNONO
02372894IRBESARTAN & HYDROCHLOROTHIAZIDEIrbesartan/HCTZ 300mg & 12.5mg TabSAI0.22810.2281YESNONO
02372908IRBESARTAN & HYDROCHLOROTHIAZIDEIrbesartan/HCTZ 300mg & 25mg TabSAI0.21840.2184YESNONO
02512890LACOSAMIDELacosamide 150mg TabSAI1.17631.1763YESYESNO
02512874LACOSAMIDELacosamide 50mg TabSAI0.63130.6313YESYESNO
02512904LACOSAMIDELacosamide 200mg TabSAI1.45001.4500YESYESNO
02512882LACOSAMIDELacosamide 100mg TabSAI0.87500.8750YESYESNO
02412268LACTULOSELactulose 667mg/mL O/LSAI0.01450.0145YESNONO
02343010LAMOTRIGINELamotrigine 25mg TabSAI0.06980.0698YESNONO
02343029LAMOTRIGINELamotrigine 100mg TabSAI0.27870.2787YESNONO
02343037LAMOTRIGINELamotrigine 150mg TabSAI0.41070.4107YESNONO
02357690LANSOPRAZOLELansoprazole 30mg DR CapSAI0.50000.5000YESYESNO
02357682LANSOPRAZOLELansoprazole 15mg DR CapSAI0.50000.5000YESYESNO
02351668LEFLUNOMIDELeflunomide 10mg TabSAI2.64332.0000YESNONO
02351676LEFLUNOMIDELeflunomide 20mg TabSAI2.64332.0000YESNONO
02504472LETROZOLELetrozole 2.5mg TabSAI1.37801.3780YESNONO
02353369LEVETIRACETAMLevetiracetam 750mg TabSAI0.54160.5416YESYESNO
02353350LEVETIRACETAMLevetiracetam 500mg TabSAI0.39110.3911YESYESNO
02353342LEVETIRACETAMLevetiracetam 250mg TabSAI0.32100.3210YESYESNO
02525208LISINOPRILLisinopril 20mg TabSAI0.19450.1945YESNONO
02525194LISINOPRILLisinopril 10mg TabSAI0.16190.1619YESNONO
02525186LISINOPRILLisinopril 5mg TabSAI0.13470.1347YESNONO
02362953LISINOPRIL & HYDROCHLOROTHIAZIDELisinopril/HCTZ (Type Z) 20mg & 12.5mg TabSAI0.25040.2504YESNONO
02362961LISINOPRIL & HYDROCHLOROTHIAZIDELisinopril/HCTZ (Type Z) (Off-Formulary Interchangeable) 20mg & 25mg TabSAI0.7011N/AYESNONO
02362945LISINOPRIL & HYDROCHLOROTHIAZIDELisinopril/HCTZ (Type Z) 10mg & 12.5mg TabSAI0.20840.2084YESNONO
02388863LOSARTAN POTASSIUMLosartan 25mg TabSAI0.31470.3147YESNONO
02388871LOSARTAN POTASSIUMLosartan 50mg TabSAI0.31470.3147YESNONO
02388898LOSARTAN POTASSIUMLosartan 100mg TabSAI0.31470.3147YESNONO
02427664LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDELosartan/HCTZ 100mg & 25mg TabSAI0.31470.3147YESNONO
02427648LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDELosartan/HCTZ 50mg & 12.5mg TabSAI0.31470.3147YESNONO
02427656LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDELosartan/HCTZ 100mg & 12.5mg TabSAI0.30820.3082YESNONO
02353156MELOXICAMMeloxicam 15mg TabSAI0.23110.2311YESNOYES
02353148MELOXICAMMeloxicam 7.5mg TabSAI0.20030.2003YESNOYES
02443082MEMANTINE HCLMemantine (Off-Formulary Interchangeable) 10mg TabSAI1.6357N/AYESNONO
02353377METFORMIN HCLMetformin 500mg TabSAI0.02470.0247YESNONO
02353385METFORMIN HCLMetformin (Off-Formulary Interchangeable) 850mg TabSAI0.2090N/AYESNONO
02350394METOPROLOL TARTRATEMetoprolol 50mg TabSAI0.06240.0624YESNONO
02350408METOPROLOL TARTRATEMetoprolol 100mg TabSAI0.13610.1361YESNONO
02534592METRONIDAZOLEMetronidazole 500mg CapSAI0.27390.2739YESNONO
02533219MIDODRINE HCLMidodrine 5mg TabSAI0.19210.1921YESYESNO
02533200MIDODRINE HCLMidodrine 2.5mg TabSAI0.11530.1153YESYESNO
02370689MIRTAZAPINEMirtazapine 30mg TabSAI0.31000.3100YESNONO
02530244MODAFINILModafinil (Off-Formulary Interchangeable) 100mg TabSAI0.92930.9293YESNOYES
02519127MOMETASONE FUROATEMometasone (Off-Formulary Interchangeable) 50mcg/Dose Nas Sp-140 Dose PkSAI21.6900N/AYESNOYES
02379325MONTELUKAST SODIUMMontelukast (Off-Formulary Interchangeable) 5mg Chew TabSAI1.20751.2075YESNONO
02379333MONTELUKAST SODIUMMontelukast (Off-Formulary Interchangeable) 10mg TabSAI1.77351.7735YESNONO
02529076MOXIFLOXACIN HYDROCHLORIDEMoxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)SAI11.2700N/AYESNONO
02520710MOXIFLOXACIN HYDROCHLORIDEMoxifloxacin 400mg TabSAI1.52301.5230YESNONO
02457369MYCOPHENOLATE MOFETILMycophenolate Mofetil 250mg CapSAI0.37120.3712YESNONO
02457377MYCOPHENOLATE MOFETILMycophenolate Mofetil 500mg TabSAI0.74230.7423YESNONO
02350785NAPROXENNaproxen EC (Off-Formulary Interchangeable) 250mg Ent TabSAI0.2835N/AYESNOYES
02350793NAPROXENNaproxen EC (Off-Formulary Interchangeable) 375mg Ent TabSAI0.3675N/AYESNOYES
02350807NAPROXENNaproxen EC (Off-Formulary Interchangeable) 500mg Ent TabSAI0.6894N/AYESNOYES
02350750NAPROXENNaproxen 250mg TabSAI0.10680.1068YESNOYES
02350777NAPROXENNaproxen 500mg TabSAI0.22440.2244YESNOYES
02350769NAPROXENNaproxen 375mg TabSAI0.14580.1458YESNOYES
02351013NAPROXEN SODIUMNaproxen Sodium (Off-Formulary Interchangeable) 275mg TabSAI0.3422N/AYESNOYES
02351021NAPROXEN SODIUMNaproxen Sodium DS (Off-Formulary Interchangeable) 550mg TabSAI0.6667N/AYESNOYES
02352990OLANZAPINEOlanzapine ODT 15mg Rapid Dissolve TabSAI1.07111.0711YESNONO
02352974OLANZAPINEOlanzapine ODT 5mg Rapid Dissolve TabSAI0.35740.3574YESNONO
02352982OLANZAPINEOlanzapine ODT 10mg Rapid Dissolve TabSAI0.71430.7143YESNONO
02372843OLANZAPINEOlanzapine 10mg TabSAI0.70880.7088YESNONO
02372851OLANZAPINEOlanzapine 15mg TabSAI1.06311.0631YESNONO
02372835OLANZAPINEOlanzapine 7.5mg TabSAI0.53160.5316YESNONO
02372827OLANZAPINEOlanzapine 5mg TabSAI0.35440.3544YESNONO
02372819OLANZAPINEOlanzapine 2.5mg TabSAI0.17720.1772YESNONO
02481065OLMESARTAN MEDOXOMILOlmesartan 40mg TabSAI0.30190.3019YESNONO
02481057OLMESARTAN MEDOXOMILOlmesartan 20mg TabSAI0.30190.3019YESNONO
02509601OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDEOlmesartan/HCTZ 20mg & 12.5mg TabSAI0.30190.3019YESNONO
02509628OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDEOlmesartan/HCTZ 40mg & 25mg TabSAI0.30190.3019YESNONO
02509636OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDEOlmesartan/HCTZ 40mg & 12.5mg TabSAI0.30190.3019YESNONO
02541653OLOPATADINE HCLOlopatadine 0.2% (Off-Formulary Interchangeable) 0.2% Oph Sol-2.5mL PkSAI26.1300N/AYESNONO
02521172OLOPATADINE HCLOlopatadine (Off-Formulary Interchangeable) 0.1% Oph Sol-5mL PkSAI26.1300N/AYESNONO
02348691OMEPRAZOLEOmeprazole DR Cap 20mgSAI0.22870.2287YESYESNO
02504294OMEPRAZOLEOmeprazole Magnesium Delayed Release Tab 20mgSAI0.22870.2287YESYESNO
09857656OMEPRAZOLE MAGNESIUMOmeprazole Magnesium Delayed Release Tab 20mgSAI0.22870.2287YESYESNO
02524287ONDANSETRON HYDROCHLORIDEOndansetron ODT (Tablet) 8mgSAI4.99303.8840YESYESNO
02524279ONDANSETRON HYDROCHLORIDEOndansetron ODT (Tablet) 4mgSAI3.27202.5450YESYESNO
02421402ONDANSETRON HYDROCHLORIDEOndansetron 4mg TabSAI3.27202.5450YESYESNO
02421410ONDANSETRON HYDROCHLORIDEOndansetron 8mg TabSAI4.99303.8840YESYESNO
02350238OXYBUTYNIN CHLORIDEOxybutynin 5mg TabSAI0.09860.0986YESNONO
02466147PANTOPRAZOLE MAGNESIUMPantoprazole T 40mg Ent Coated TabSAI0.18750.1875YESNONO
02536137PANTOPRAZOLE SODIUMPantoprazole (Off-Formulary Interchangeable) 20mg Ent TabSAI1.2750N/AYESNONO
02370808PANTOPRAZOLE SODIUMPantoprazole 40mg Ent TabSAI0.20160.2016YESYESNO
02282852PAROXETINE HCLParoxetine 20mg TabSAI0.32500.3250YESNONO
02282860PAROXETINE HCLParoxetine 30mg TabSAI0.34530.3453YESNONO
02282844PAROXETINE HCLParoxetine (Off-Formulary Interchangeable) 10mg TabSAI1.0430N/AYESNONO
02481650PERINDOPRIL ERBUMINEPerindopril Erbumine 8mg TabSAI0.28310.2831YESNONO
02481634PERINDOPRIL ERBUMINEPerindopril Erbumine 2mg TabSAI0.16320.1632YESNONO
02481642PERINDOPRIL ERBUMINEPerindopril Erbumine 4mg TabSAI0.20420.2042YESNONO
02519739PERINDOPRIL ERBUMINE & INDAPAMIDEPerindopril/Indapamide 8mg & 2.5mg TabSAI0.28590.2859YESNONO
02519720PERINDOPRIL ERBUMINE & INDAPAMIDEPerindopril/Indapamide 4mg & 1.25mg TabSAI0.25560.2556YESNONO
02367610PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATEPramipexole (Off-Formulary Interchangeable) 0.5mg TabSAI1.3860N/AYESNONO
02367629PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATEPramipexole 1mg TabSAI0.39010.3901YESNONO
02367602PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATEPramipexole 0.25mg TabSAI0.19500.1950YESNONO
02367645PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATEPramipexole 1.5mg TabSAI0.39010.3901YESNONO
02356562PRAVASTATIN SODIUMPravastatin 40mg TabSAI0.41430.4143YESNONO
02356546PRAVASTATIN SODIUMPravastatin 10mg TabSAI0.29160.2916YESNONO
02356554PRAVASTATIN SODIUMPravastatin 20mg TabSAI0.34400.3440YESNONO
02405563PREGABALINPregabalin 150mg CapSAI0.41450.4145YESNONO
02405555PREGABALINPregabalin 75mg CapSAI0.30070.3007YESNONO
02405547PREGABALINPregabalin 50mg CapSAI0.23240.2324YESNONO
02405539PREGABALINPregabalin 25mg CapSAI0.14810.1481YESNONO
02405598PREGABALINPregabalin 300mg CapSAI0.41450.4145YESNONO
02516187PROGESTERONEProgesterone (Off-Formulary Interchangeable) 100mg CapSAI1.43581.4358YESNONO
02343061PROPAFENONE HCLPropafenone 300mg TabSAI0.52270.5227YESNONO
02343053PROPAFENONE HCLPropafenone 150mg TabSAI0.29660.2966YESNONO
02516616QUETIAPINEQuetiapine Fumarate XR 50mg ER TabSAI0.25010.2501YESNONO
02516624QUETIAPINEQuetiapine Fumarate XR 150mg ER TabSAI0.49260.4926YESNONO
02516632QUETIAPINEQuetiapine Fumarate XR 200mg ER TabSAI0.66610.6661YESNONO
02516640QUETIAPINEQuetiapine Fumarate XR 300mg ER TabSAI0.97760.9776YESNONO
02516659QUETIAPINEQuetiapine Fumarate XR 400mg ER TabSAI1.32701.3270YESNONO
02353164QUETIAPINEQuetiapine 25mg TabSAI0.04940.0494YESNONO
02353172QUETIAPINEQuetiapine 100mg TabSAI0.13180.1318YESNONO
02353199QUETIAPINEQuetiapine 200mg TabSAI0.26470.2647YESNONO
02353202QUETIAPINEQuetiapine 300mg TabSAI0.38630.3863YESNONO
02356538RABEPRAZOLE SODIUMRabeprazole EC 20mg TabSAI0.13380.1338YESNONO
02356511RABEPRAZOLE SODIUMRabeprazole EC 10mg TabSAI0.06690.0669YESNONO
02374846RAMIPRILRamipril Cap 2.5mgSAI0.08170.0817YESNONO
02374862RAMIPRILRamipril Cap 10mgSAI0.10340.1034YESNONO
02374854RAMIPRILRamipril Cap 5mgSAI0.08170.0817YESNONO
02370255RISEDRONATE SODIUMRisedronate 35mg TabSAI1.67641.6764YESNONO
02528460RISEDRONATE SODIUMRisedronate 150mg TabSAI11.187511.1875YESNONO
02356929RISPERIDONERisperidone 3mg TabSAI0.60830.6083YESNONO
02356937RISPERIDONERisperidone 4mg TabSAI0.81110.8111YESNONO
02356910RISPERIDONERisperidone 2mg TabSAI0.40620.4062YESNONO
02356902RISPERIDONERisperidone 1mg TabSAI0.20310.2031YESNONO
02356899RISPERIDONERisperidone 0.5mg TabSAI0.14700.1470YESNONO
02356880RISPERIDONERisperidone 0.25mg TabSAI0.08780.0878YESNONO
02442914RIZATRIPTANRizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating TabSAI11.115011.1150YESNONO
02442906RIZATRIPTANRizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating TabSAI11.115011.1150YESNONO
02516756RIZATRIPTANRizatriptan (Off-Formulary Interchangeable) 10mg TabSAI11.115011.1150YESNONO
02405652ROSUVASTATIN CALCIUMRosuvastatin 40mg TabSAI0.19900.1990YESNONO
02405628ROSUVASTATIN CALCIUMRosuvastatin 5mg TabSAI0.12840.1284YESNONO
02405636ROSUVASTATIN CALCIUMRosuvastatin 10mg TabSAI0.13540.1354YESNONO
02405644ROSUVASTATIN CALCIUMRosuvastatin 20mg TabSAI0.16920.1692YESNONO
02419858SALBUTAMOLSalbutamol HFA 100mcg/Metered Dose Inh-200 dose PkSAI5.00005.0000YESNONO
02353539SERTRALINE HCLSertraline 50mg CapSAI0.30320.3032YESNOYES
02353547SERTRALINE HCLSertraline 100mg CapSAI0.33030.3303YESNOYES
02353520SERTRALINE HCLSertraline 25mg CapSAI0.15160.1516YESNOYES
02406160SILDENAFILSildenafil (Off-Formulary Interchangeable) 100mg TabSAI9.20069.2006YESNONO
02406152SILDENAFILSildenafil (Off-Formulary Interchangeable) 50mg TabSAI8.84758.8475YESNONO
02284774SIMVASTATINSimvastatin 80mg TabSAI0.25010.2501YESNONO
02284766SIMVASTATINSimvastatin 40mg TabSAI0.25010.2501YESNONO
02284731SIMVASTATINSimvastatin 10mg TabSAI0.20230.2023YESNONO
02284723SIMVASTATINSimvastatin 5mg TabSAI0.10230.1023YESNONO
02284758SIMVASTATINSimvastatin 20mg TabSAI0.25010.2501YESNONO
02458268SOLIFENACIN SUCCINATESolifenacin 10mg TabSAI0.30410.3041YESYESNO
02458241SOLIFENACIN SUCCINATESolifenacin 5mg TabSAI0.30410.3041YESYESNO
02286521SUMATRIPTAN SUCCINATESumatriptan (Off-Formulary Interchangeable) 50mg TabSAI9.06509.0650YESNONO
02286548SUMATRIPTAN SUCCINATESumatriptan (Off-Formulary Interchangeable) 100mg TabSAI9.98679.9867YESNONO
02457032TADALAFILTadalafil (Off-Formulary Interchangeable) 20mg TabSAI12.356912.3569YESNONO
02457016TADALAFILTadalafil (Off-Formulary Interchangeable) 5mg TabSAI3.64713.6471YESNONO
02457024TADALAFILTadalafil (Off-Formulary Interchangeable) 10mg TabSAI11.925011.9250YESNONO
02427117TAMSULOSIN HCLTamsulosin CR Tab 0.4mgSAI0.15000.1500YESNOYES
02388944TELMISARTANTelmisartan 40mg TabSAI0.21610.2161YESNONO
02388952TELMISARTANTelmisartan 80mg TabSAI0.21610.2161YESNONO
02395355TELMISARTAN & HYDROCHLOROTHIAZIDETelmisartan/HCTZ 80mg & 12.5mg TabSAI0.20980.2098YESNONO
02395363TELMISARTAN & HYDROCHLOROTHIAZIDETelmisartan/HCTZ 80mg & 25mg TabSAI0.20980.2098YESNONO
02512327TENOFOVIR DISOPROXILTenofovir 300mg TabSAI4.88844.8884YESYESNO
02353121TERBINAFINE HCLTerbinafine 250mg TabSAI0.77140.7714YESNONO
02356872TOPIRAMATETopiramate 200mg TabSAI0.67480.6748YESNONO
02356856TOPIRAMATETopiramate 25mg TabSAI0.24330.2433YESNONO
02356864TOPIRAMATETopiramate 100mg TabSAI0.45830.4583YESNONO
02525054TRANDOLAPRILTrandolapril 2mg CapSAI0.20250.2025YESNONO
02525046TRANDOLAPRILTrandolapril 1mg CapSAI0.17620.1762YESNONO
02525070TRANDOLAPRILTrandolapril 4mg CapSAI0.24980.2498YESNONO
02348772TRAZODONE HYDROCHLORIDETrazodone 50mg TabSAI0.05540.0554YESNONO
02348780TRAZODONE HYDROCHLORIDETrazodone 100mg TabSAI0.09890.0989YESNONO
02348799TRAZODONE HYDROCHLORIDETrazodone 150mg TabSAI0.14530.1453YESNONO
02515539URSODIOLUrsodiol C 500mg TabSAI0.72420.7242YESYESNO
02515520URSODIOLUrsodiol C 250mg TabSAI0.38180.3818YESYESNO
02454645VALACYCLOVIRValacyclovir 500mg TabSAI0.61980.6198YESNONO
02519585VALACYCLOVIRValacyclovir (Off-Formulary Interchangeable) 1000mg TabSAI5.8537N/AYESNONO
02366940VALSARTANValsartan (Off-Formulary Interchangeable) 40mg TabSAI0.5823N/AYESNONO
02366959VALSARTANValsartan 80mg TabSAI0.21590.2159YESNONO
02366967VALSARTANValsartan 160mg TabSAI0.21590.2159YESNONO
02366975VALSARTANValsartan 320mg TabSAI0.20980.2098YESNONO
02367009VALSARTAN & HYDROCHLOROTHIAZIDEValsartan HCT 80mg & 12.5mg TabSAI0.22130.2213YESNONO
02367017VALSARTAN & HYDROCHLOROTHIAZIDEValsartan HCT 160mg & 12.5mg TabSAI0.22400.2240YESNONO
02367041VALSARTAN & HYDROCHLOROTHIAZIDEValsartan HCT 320mg & 25mg TabSAI0.22310.2231YESNONO
02367033VALSARTAN & HYDROCHLOROTHIAZIDEValsartan HCT 320mg & 12.5mg TabSAI0.22350.2235YESNONO
02367025VALSARTAN & HYDROCHLOROTHIAZIDEValsartan HCT 160mg & 25mg TabSAI0.22380.2238YESNONO
02520397VARDENAFIL HCLVardenafil (Off-Formulary Interchangeable) 10mg TabSAI10.3976N/AYESNONO
02520400VARDENAFIL HCLVardenafil (Off-Formulary Interchangeable) 20mg TabSAI11.6811N/AYESNONO
02354721VENLAFAXINE HCLVenlafaxine XR 75mg ER CapSAI0.18250.1825YESNONO
02354713VENLAFAXINE HCLVenlafaxine XR 37.5mg ER CapSAI0.09130.0913YESNONO
02354748VENLAFAXINE HCLVenlafaxine XR 150mg ER CapSAI0.19270.1927YESNONO
02442671ZOLMITRIPTANZolmitriptan ODT (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating TabSAI6.86336.8633YESNONO
02442655ZOLMITRIPTANZolmitriptan (Off-Formulary Interchangeable) 2.5mg TabSAI6.85836.8583YESNONO
02344122ZOPICLONEZopiclone (Off-Formulary Interchangeable) 5mg TabSAI0.22310.2231YESNONO
02282445ZOPICLONEZopiclone (Off-Formulary Interchangeable) 7.5mg TabSAI0.46850.4685YESNONO