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Products found: 85

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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
01910159	ACEBUTOLOL HCL	Rhotral (Not a Benefit) 200mg Tab	SAV	N/A	N/A	YES	NO	NO
01910140	ACEBUTOLOL HCL	Rhotral (Not a Benefit) 100mg Tab	SAV	N/A	N/A	YES	NO	NO
01910167	ACEBUTOLOL HCL	Rhotral (Not a Benefit) 400mg Tab	SAV	N/A	N/A	YES	NO	NO
01926551	ACEBUTOLOL HCL	Sectral (Not a Benefit) 200mg Tab	SAV	N/A	N/A	YES	NO	NO
01926578	ACEBUTOLOL HCL	Sectral 400mg Tab	SAV	1.0695	0.2466	YES	NO	NO
01926543	ACEBUTOLOL HCL	Sectral (Not a Benefit) 100mg Tab	SAV	N/A	N/A	YES	NO	NO
02245565	ALFUZOSIN HYDROCHLORIDE	Xatral 10mg Prolong-Rel Tab	SAV	1.0758	0.2601	YES	YES	NO
01926691	CALCITONIN (SALMON SYNTHETIC)	Calcimar 400IU/2mL Inj Sol-2mL Pk	SAV	63.0400	63.0400	NO	NO	NO
02238682	CLOPIDOGREL BISULFATE	Plavix 75mg Tab	SAV	2.7125	0.2631	YES	NO	NO
02330555	CLOPIDOGREL BISULFATE	Plavix (Off-Formulary Interchangeable) 300mg Tab	SAV	N/A	N/A	YES	NO	NO
02018160	DANAZOL	Cyclomen 200mg Cap	SAV	2.4486	2.4486	NO	NO	NO
02018152	DANAZOL	Cyclomen 100mg Cap	SAV	1.5323	1.5323	NO	NO	NO
02018144	DANAZOL	Cyclomen 50mg Cap	SAV	1.0324	1.0324	NO	NO	NO
02099128	DESIPRAMINE	Norpramin (Not a Benefit) 25mg Tab	SAV	N/A	N/A	YES	NO	NO
02099136	DESIPRAMINE	Norpramin (Not a Benefit) 50mg Tab	SAV	N/A	N/A	YES	NO	NO
01931563	ELECTROLYTE & DEXTROSE	Gastrolyte Oral Pd-1 Sach Pk	SAV	0.7950	0.7950	NO	NO	NO
02236564	ENOXAPARIN	Lovenox 100mg/mL Inj Sol-3mLVial Pk	SAV	66.1700	66.1700	NO	YES	NO
02012472	ENOXAPARIN	Lovenox 30mg/0.3mL Pref Syr-0.3mL Pk	SAV	6.6170	6.6170	NO	YES	NO
02236883	ENOXAPARIN	Lovenox 40mg/0.4mL Pref Syr-0.4mL Pk	SAV	8.8220	8.8220	NO	YES	NO
02378426	ENOXAPARIN	Lovenox 60mg/0.6mL Pref Syr-0.6mL Pk	SAV	13.2330	13.2330	NO	YES	NO
02378434	ENOXAPARIN	Lovenox 80mg/0.8mL Pref Syr-0.8mL Pk	SAV	17.6450	17.6450	NO	YES	NO
02242692	ENOXAPARIN	Lovenox HP 120mg/0.8mL Pref Syr-0.8mL Pk	SAV	26.4670	26.4670	NO	YES	NO
02378442	ENOXAPARIN	Lovenox 100mg/mL Pref Syr-1mL Pk	SAV	22.0560	22.0560	NO	YES	NO
02378469	ENOXAPARIN	Lovenox HP 150mg/mL Pref Syr-1mL Pk	SAV	33.0850	33.0850	NO	YES	NO
02017598	ERGOCALCIFEROL	Drisdol (Not a Benefit) 8288IU/mL O/L	SAV	N/A	N/A	YES	NO	NO
02221993	FELODIPINE	Renedil (Not a Benefit) 5mg SR Tab	SAV	N/A	N/A	YES	NO	YES
02222000	FELODIPINE	Renedil (Not a Benefit) 10mg SR Tab	SAV	N/A	N/A	YES	NO	YES
02224623	FRAMYCETIN SULFATE & GRAMICIDIN & DEXAMETHASONE	Sofracort 5mg & 50mcg & 0.5mg/mL Oph/Ot Sol	SAV	2.1263	2.1263	NO	NO	YES
02224720	FUROSEMIDE	Lasix 10mg/mL O/L	SAV	0.3340	0.3340	NO	NO	NO
02224704	FUROSEMIDE	Lasix (Not a Benefit) 40mg Tab	SAV	N/A	N/A	YES	NO	NO
02224690	FUROSEMIDE	Lasix (Not a Benefit) 20mg Tab	SAV	N/A	N/A	YES	NO	NO
02224755	FUROSEMIDE	Lasix Special 500mg Tab	SAV	3.4410	3.4410	NO	YES	NO
02245274	GLIMEPIRIDE	Amaryl (Off-Formulary Interchangeable) 4mg Tab	SAV	N/A	N/A	YES	NO	NO
02245273	GLIMEPIRIDE	Amaryl (Off-Formulary Interchangeable) 2mg Tab	SAV	N/A	N/A	YES	NO	NO
02245272	GLIMEPIRIDE	Amaryl (Off-Formulary Interchangeable) 1mg Tab	SAV	N/A	N/A	YES	NO	NO
02224569	GLYBURIDE	Diabeta (Not a Benefit) 5mg Tab	SAV	N/A	N/A	YES	NO	NO
02224550	GLYBURIDE	Diabeta (Not a Benefit) 2.5mg Tab	SAV	N/A	N/A	YES	NO	NO
02017709	HYDROXYCHLOROQUINE SULFATE	Plaquenil 200mg Tab	SAV	0.6516	0.1576	YES	NO	NO
02245689	INSULIN GLARGINE	Lantus-(Vial) 100U/mL Inj Sol-10mL Vial Pk	SAV	61.6900	61.6900	NO	YES	NO
02294338	INSULIN GLARGINE	Lantus Solostar 100U/mL Inj Sol-5x3mL Pk	SAV	92.8500	92.8500	NO	YES	NO
02251930	INSULIN GLARGINE	Lantus-(Cartridge) 100U/mL Inj Sol-5x3mL Pk	SAV	92.8500	92.8500	NO	YES	NO
02279479	INSULIN GLULISINE (DNA ORIGIN)	Apidra 100U/mL Inj 5x3mL Cart ClickStar Pen	SAV	52.6500	52.6500	NO	NO	YES
02279460	INSULIN GLULISINE (DNA ORIGIN)	Apidra 100U/mL Inj Sol-10mL Vial	SAV	26.5800	26.5800	NO	NO	YES
02294346	INSULIN GLULISINE (DNA ORIGIN)	Apidra 100U/mL Inj Sol-5x3mL SoloSTAR Pref Pen	SAV	53.1500	53.1500	NO	NO	YES
02237924	IRBESARTAN	Avapro 150mg Tab	SAV	1.2671	0.2281	YES	NO	NO
02237923	IRBESARTAN	Avapro 75mg Tab	SAV	1.2671	0.2281	YES	NO	NO
02237925	IRBESARTAN	Avapro 300mg Tab	SAV	1.2671	0.2281	YES	NO	NO
02241818	IRBESARTAN & HYDROCHLOROTHIAZIDE	Avalide 150mg & 12.5mg Tab	SAV	1.2671	0.2281	YES	NO	NO
02280213	IRBESARTAN & HYDROCHLOROTHIAZIDE	Avalide (Not a Benefit) 300mg & 25mg Tab	SAV	N/A	N/A	YES	NO	NO
02241819	IRBESARTAN & HYDROCHLOROTHIAZIDE	Avalide 300mg & 12.5mg Tab	SAV	1.2671	0.2281	YES	NO	NO
00761680	KETOPROFEN	Rhodis-EC (Not a Benefit) 100mg Ent Tab	SAV	N/A	N/A	YES	NO	YES
02241888	LEFLUNOMIDE	Arava 10mg Tab	SAV	11.4440	2.0000	YES	NO	NO
02241889	LEFLUNOMIDE	Arava 20mg Tab	SAV	11.4443	2.0000	YES	NO	NO
02162849	METFORMIN HCL	Glucophage (Off-Formulary Interchangeable) 850mg Tab	SAV	N/A	N/A	YES	NO	NO
02099233	METFORMIN HCL	Glucophage 500mg Tab	SAV	0.2716	0.0247	YES	NO	NO
01927698	METHOTRIMEPRAZINE	Nozinan 25mg/mL Inj Sol-1mL Pk	SAV	3.8060	3.8060	NO	NO	NO
01927655	METHOTRIMEPRAZINE	Nozinan (Not a Benefit) 5mg Tab	SAV	N/A	N/A	YES	NO	NO
01927663	METHOTRIMEPRAZINE	Nozinan (Not a Benefit) 25mg Tab	SAV	N/A	N/A	YES	NO	NO
01927671	METHOTRIMEPRAZINE	Nozinan (Not a Benefit) 50mg Tab	SAV	N/A	N/A	YES	NO	NO
00888400	METOLAZONE	Zaroxolyn 2.5mg Tab	SAV	0.2209	0.2209	NO	NO	NO
01926861	METRONIDAZOLE	Flagyl 10% Vag Cr-App	SAV	0.2645	0.2645	NO	NO	NO
01926845	METRONIDAZOLE & NYSTATIN	Flagystatin 500mg & 100000U/g Vag Cr-App	SAV	0.6076	0.6076	NO	NO	NO
01926829	METRONIDAZOLE & NYSTATIN	Flagystatin 500mg & 100000U Vag Sup	SAV	3.5610	3.5610	NO	NO	NO
02231441	NITROGLYCERIN	Nitrolingual Pump Spray 0.4mg/Metered Dose Spray-200 Dose Pk	SAV	15.7600	8.4200	YES	NO	NO
02221977	PENTOXIFYLLINE	Trental (Not a Benefit) 400mg SR Tab	SAV	N/A	N/A	YES	NO	NO
02026961	POLYSTYRENE SODIUM SULFONATE	Kayexalate 1mEq/g Oral Pd-454g Pk	SAV	42.0200	29.4175	YES	NO	NO
02230619	PREDNISOLONE SODIUM PHOSPHATE	Pediapred Oral Liquid 6.7mg/5mL O/L	SAV	0.1446	0.0900	YES	NO	NO
02221853	RAMIPRIL	Altace Cap 10mg	SAV	1.3701	0.1034	YES	NO	NO
02221845	RAMIPRIL	Altace Cap 5mg	SAV	1.0664	0.0817	YES	NO	NO
02221829	RAMIPRIL	Altace Cap 1.25mg	SAV	0.9239	0.0708	YES	NO	NO
02221837	RAMIPRIL	Altace Cap 2.5mg	SAV	1.0394	0.0817	YES	NO	NO
02281112	RAMIPRIL	Altace (Off-Formulary Interchangeable) 15mg Cap	SAV	N/A	N/A	YES	NO	NO
02283182	RAMIPRIL & HYDROCHLOROTHIAZIDE	Altace HCT 10mg & 25mg Tab	SAV	0.6274	0.2634	YES	NO	NO
02283166	RAMIPRIL & HYDROCHLOROTHIAZIDE	Altace HCT 10mg & 12.5mg Tab	SAV	0.6274	0.2634	YES	NO	NO
02283158	RAMIPRIL & HYDROCHLOROTHIAZIDE	Altace HCT 5mg & 12.5mg Tab	SAV	0.4790	0.3016	YES	NO	NO
02283131	RAMIPRIL & HYDROCHLOROTHIAZIDE	Altace HCT 2.5mg & 12.5mg Tab	SAV	0.3739	0.2242	YES	NO	NO
02283174	RAMIPRIL & HYDROCHLOROTHIAZIDE	Altace HCT 5mg & 25mg Tab	SAV	0.4790	0.2872	YES	NO	NO
02354586	SEVELAMER CARBONATE	Renvela (Off-Formulary Interchangeable) 800mg Tab	SAV	1.2634	1.2634	YES	NO	NO
01926632	TAMOXIFEN CITRATE	Tamofen (Not a Benefit) 20mg Tab	SAV	N/A	N/A	YES	NO	NO
01926624	TAMOXIFEN CITRATE	Tamofen (Not a Benefit) 10mg Tab	SAV	N/A	N/A	YES	NO	NO
02221950	TIAPROFENIC ACID	Surgam (Not a Benefit) 300mg Tab	SAV	N/A	N/A	YES	NO	YES
01926519	TRETINOIN	Vitamin A Acid (Not a Benefit) 0.05% Cr	SAV	N/A	N/A	YES	NO	NO
02213834	TRIAMCINOLONE ACETONIDE	Nasacort AQ (Off-Formulary Interchangeable) 55mcg/Metered Dose Nas Sp-120 Dose Pk (with Preservative)	SAV	N/A	N/A	YES	NO	YES
02216167	ZOPICLONE	Imovane (Off-Formulary Interchangeable) 5mg Tab	SAV	N/A	N/A	YES	NO	NO
01926799	ZOPICLONE	Imovane (Off-Formulary Interchangeable) 7.5mg Tab	SAV	N/A	N/A	YES	NO	NO

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