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Products found: 5New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02273225DARIFENACINEnablex 15mg ER TabSLP1.61160.8058YESYESNO
02273217DARIFENACINEnablex 7.5mg ER TabSLP1.61160.8058YESYESNO
02520028ETHINYL ESTRADIOL & ETONOGESTRELHaloette (Off-Formulary Interchangeable) 0.120mg & 0.015mg/24 hr Slow Release Vag RingSLP14.2120N/AYESNONO
00788716VANCOMYCIN HCLVancocin (Off-Formulary Interchangeable) 250mg CapSLP10.360010.3600YESNONO
00800430VANCOMYCIN HCLVancocin 125mg CapSLP5.18005.1800YESYESNO