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Products found: 19

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
02458640	EDOXABAN	Lixiana 15mg Tab	SEV	2.9393	2.9393	NO	YES	NO
02458659	EDOXABAN	Lixiana 30mg Tab	SEV	2.9393	2.9393	NO	YES	NO
02458667	EDOXABAN	Lixiana 60mg Tab	SEV	2.9393	2.9393	NO	YES	NO
02356422	GLICLAZIDE	Diamicron MR 60mg ER Tab	SEV	0.2783	0.0632	YES	NO	NO
02242987	GLICLAZIDE	Diamicron MR 30mg SR Tab	SEV	0.1547	0.0931	YES	NO	NO
00765996	GLICLAZIDE	Diamicron (Not a Benefit) 80mg Tab	SEV	N/A	N/A	YES	NO	NO
02179709	INDAPAMIDE	Lozide (Not a Benefit) 1.25mg Tab	SEV	N/A	N/A	YES	NO	NO
00564966	INDAPAMIDE	Lozide (Not a Benefit) 2.5mg Tab	SEV	N/A	N/A	YES	NO	NO
02459973	IVABRADINE HCL	Lancora 5mg Tab	SEV	0.8934	0.8934	NO	YES	NO
02459981	IVABRADINE HCL	Lancora 7.5mg Tab	SEV	1.6339	1.6339	NO	YES	NO
02451530	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	Viacoram (Off-Formulary Interchangeable) 3.5mg & 2.5mg Tab	SEV	N/A	N/A	YES	NO	NO
02451549	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	Viacoram (Off-Formulary Interchangeable) 7mg & 5mg Tab	SEV	N/A	N/A	YES	NO	NO
02451557	PERINDOPRIL ARGININE & AMLODIPINE BESYLATE	Viacoram (Off-Formulary Interchangeable) 14mg & 10mg Tab	SEV	N/A	N/A	YES	NO	NO
02123274	PERINDOPRIL ERBUMINE	Coversyl 2mg Tab	SEV	0.7363	0.1632	YES	NO	NO
02123282	PERINDOPRIL ERBUMINE	Coversyl 4mg Tab	SEV	0.9217	0.2042	YES	NO	NO
02246624	PERINDOPRIL ERBUMINE	Coversyl 8mg Tab	SEV	1.2907	0.2831	YES	NO	NO
02246569	PERINDOPRIL ERBUMINE & INDAPAMIDE	Coversyl Plus 4mg & 1.25mg Tab	SEV	1.1420	0.2556	YES	NO	NO
02321653	PERINDOPRIL ERBUMINE & INDAPAMIDE	Coversyl Plus HD 8mg & 2.5mg Tab	SEV	1.2907	0.2859	YES	NO	NO
02246568	PERINDOPRIL ERBUMINE & INDAPAMIDE	Coversyl Plus LD 2mg & 0.625mg Tab	SEV	0.9600	0.4227	YES	NO	NO