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Products found: 24

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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
02357720	AMLODIPINE	Septa-Amlodipine 10mg Tab	SET	0.1993	0.1993	YES	NO	NO
02357712	AMLODIPINE	Septa-Amlodipine 5mg Tab	SET	0.1343	0.1343	YES	NO	NO
02368641	ATENOLOL	Septa-Atenolol 50mg Tab	SET	0.0938	0.0938	YES	NO	NO
02368668	ATENOLOL	Septa-Atenolol 100mg Tab	SET	0.1543	0.1543	YES	NO	NO
09858341	CARBAMAZEPINE	Carbamazepine ER Tablets, USP 200mg (Temporary Benefit) 200mg ER Tab	SET	4.7080	4.7080	NO	NO	NO
09858342	CARBAMAZEPINE	Carbamazepine ER Tablets, USP 400mg (Temporary Benefit) 400mg ER Tab	SET	5.2216	5.2216	NO	NO	NO
02379643	CIPROFLOXACIN	Septa-Ciprofloxacin 750mg Tab	SET	0.9201	0.9201	YES	NO	YES
02379627	CIPROFLOXACIN	Septa-Ciprofloxacin 250mg Tab	SET	0.4454	0.4454	YES	NO	YES
02379635	CIPROFLOXACIN	Septa-Ciprofloxacin 500mg Tab	SET	0.5025	0.5025	YES	NO	YES
02355272	CITALOPRAM HYDROBROMIDE	Septa-Citalopram 20mg Tab	SET	0.1332	0.1332	YES	NO	NO
02355280	CITALOPRAM HYDROBROMIDE	Septa-Citalopram 40mg Tab	SET	0.1332	0.1332	YES	NO	NO
02428490	DONEPEZIL HCL	Septa-Donepezil 10mg Tab	SET	0.4586	0.4586	YES	YES	NO
02428482	DONEPEZIL HCL	Septa-Donepezil 5mg Tab	SET	0.4586	0.4586	YES	YES	NO
02424975	LOSARTAN POTASSIUM	Septa-Losartan 50mg Tab	SET	0.3147	0.3147	YES	NO	NO
02424967	LOSARTAN POTASSIUM	Septa-Losartan 25mg Tab	SET	0.3147	0.3147	YES	NO	NO
02424983	LOSARTAN POTASSIUM	Septa-Losartan 100mg Tab	SET	0.3147	0.3147	YES	NO	NO
02428539	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Septa-Losartan HCTZ 50mg & 12.5mg Tab	SET	0.3147	0.3147	YES	NO	NO
02428547	LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE	Septa-Losartan HCTZ 100mg & 25mg Tab	SET	0.3147	0.3147	YES	NO	NO
02379767	METFORMIN HCL	Septa-Metformin 500mg Tab	SET	0.0247	0.0247	YES	NO	NO
02376091	ONDANSETRON HYDROCHLORIDE	Septa-Ondansetron 4mg Tab	SET	3.3495	2.5450	YES	YES	NO
02376105	ONDANSETRON HYDROCHLORIDE	Septa-Ondansetron 8mg Tab	SET	5.1110	3.8840	YES	YES	NO
02428474	ZOLMITRIPTAN	Septa-Zolmitriptan-ODT (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating Tab	SET	6.8633	6.8633	YES	NO	NO
02386909	ZOPICLONE	Septa-Zopiclone (Off-Formulary Interchangeable) 5mg Tab	SET	0.2231	0.2231	YES	NO	NO
02386917	ZOPICLONE	Septa-Zopiclone (Off-Formulary Interchangeable) 7.5mg Tab	SET	0.4685	0.4685	YES	NO	NO

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