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Products found: 5

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
00254142	BISACODYL	Dulcolax 5mg Ent Tab	SCO	0.2009	0.2009	NO	NO	NO
00003875	BISACODYL	Dulcolax 10mg Sup	SCO	1.2267	0.4206	YES	NO	NO
00363839	HYOSCINE BUTYLBROMIDE	Buscopan 20mg/mL Inj Sol	SCO	4.8880	4.8880	NO	YES	NO
00363812	HYOSCINE BUTYLBROMIDE	Buscopan 10mg Tab	SCO	0.3655	0.2711	YES	YES	NO
02213834	TRIAMCINOLONE ACETONIDE	Nasacort AQ (Off-Formulary Interchangeable) 55mcg/Metered Dose Nas Sp-120 Dose Pk (with Preservative)	SCO	N/A	N/A	YES	NO	YES