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Products found: 11

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
02299909	DAPTOMYCIN	Cubicin (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol-Vial Pk	SUO	N/A	N/A	YES	NO	NO
02426862	ESLICARBAZEPINE ACETATE	Aptiom 200mg Tab	SUO	9.8700	4.9350	YES	YES	NO
02426870	ESLICARBAZEPINE ACETATE	Aptiom 400mg Tab	SUO	9.8700	4.9350	YES	YES	NO
02426889	ESLICARBAZEPINE ACETATE	Aptiom 600mg Tab	SUO	9.8700	4.9350	YES	YES	NO
02426897	ESLICARBAZEPINE ACETATE	Aptiom 800mg Tab	SUO	9.8700	4.9350	YES	YES	NO
02422050	LURASIDONE HYDROCHLORIDE	Latuda 20mg Tab	SUO	4.2500	1.2250	YES	NO	YES
02387751	LURASIDONE HYDROCHLORIDE	Latuda 40mg Tab	SUO	4.9000	1.2250	YES	NO	YES
02413361	LURASIDONE HYDROCHLORIDE	Latuda 60mg Tab	SUO	4.9000	1.2250	YES	NO	YES
02387778	LURASIDONE HYDROCHLORIDE	Latuda 80mg Tab	SUO	4.5000	1.2250	YES	NO	YES
02387786	LURASIDONE HYDROCHLORIDE	Latuda (Not a Benefit) 120mg Tab	SUO	N/A	N/A	YES	NO	YES
02275066	TROSPIUM CHLORIDE	Trosec (Not a Benefit) 20mg Tab	SUO	N/A	N/A	YES	NO	NO