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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	Interchangeable	Limited Use	Therapeutic 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