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Products found: 11New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
01916793CIMETIDINETagamet (Not a Benefit) 200mg TabSMJN/AN/AYESNOYES
01916769CIMETIDINETagamet (Not a Benefit) 800mg TabSMJN/AN/AYESNOYES
01916777CIMETIDINETagamet (Not a Benefit) 600mg TabSMJN/AN/AYESNOYES
01916785CIMETIDINETagamet (Not a Benefit) 400mg TabSMJN/AN/AYESNOYES
01916815CIMETIDINETagamet (Not a Benefit) 300mg TabSMJN/AN/AYESNOYES
01919547HYDROCHLOROTHIAZIDE & TRIAMTERENEDyazide (Not a Benefit) 25mg & 50mg TabSMJN/AN/AYESNONO
02027887PAROXETINE HCLPaxil (Off-Formulary Interchangeable) 10mg TabSMJN/AN/AYESNONO
01918230TRIFLUOPERAZINEStelazine (Not a Benefit) 10mg TabSMJN/AN/AYESNONO
01918222TRIFLUOPERAZINEStelazine (Not a Benefit) 5mg TabSMJN/AN/AYESNONO
01918214TRIFLUOPERAZINEStelazine (Not a Benefit) 2mg TabSMJN/AN/AYESNONO
01918206TRIFLUOPERAZINEStelazine (Not a Benefit) 1mg TabSMJN/AN/AYESNONO