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Products found: 38

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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
02297558	5-AMINOSALICYLIC ACID	Mezavant 1.2g Delayed & ER Tab	TAK	2.0020	2.0020	NO	NO	NO
02236859	ANAGRELIDE HCL	Agrylin (Not a Benefit) 0.5mg Cap	TAK	N/A	N/A	YES	NO	NO
02354950	DEXLANSOPRAZOLE	Dexilant (Off-Formulary Interchangeable) 30mg DR Cap	TAK	N/A	N/A	YES	NO	NO
02354969	DEXLANSOPRAZOLE	Dexilant (Off-Formulary Interchangeable) 60mg DR Cap	TAK	N/A	N/A	YES	NO	NO
02357380	FEBUXOSTAT	Uloric (Off-Formulary Interchangeable) 80mg Tab	TAK	N/A	N/A	YES	NO	NO
02409135	GUANFACINE	Intuniv XR 4mg ER Tab	TAK	5.0738	2.5369	YES	YES	NO
02409127	GUANFACINE	Intuniv XR 3mg ER Tab	TAK	4.4075	2.2038	YES	YES	NO
02409100	GUANFACINE	Intuniv XR 1mg ER Tab	TAK	3.0750	1.5375	YES	YES	NO
02409119	GUANFACINE	Intuniv XR 2mg ER Tab	TAK	3.7413	1.8707	YES	YES	NO
02425696	ICATIBANT	Firazyr (Off-Formulary Interchangeable) 30mg/3mL Inj Sol-Pref Syr 3mL Pk	TAK	2700.0000	1485.0000	YES	NO	NO
02287145	LANTHANUM	Fosrenol (Not a Benefit) 250mg Chew Tab	TAK	N/A	N/A	YES	NO	NO
02287188	LANTHANUM	Fosrenol (Not a Benefit) 1000mg Chew Tab	TAK	N/A	N/A	YES	NO	NO
02287161	LANTHANUM	Fosrenol (Not a Benefit) 750mg Chew Tab	TAK	N/A	N/A	YES	NO	NO
02287153	LANTHANUM	Fosrenol (Not a Benefit) 500mg Chew Tab	TAK	N/A	N/A	YES	NO	NO
02322978	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 50mg Cap	TAK	4.6736	1.1246	YES	NO	YES
02439603	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 10mg Cap	TAK	2.3656	0.5692	YES	NO	YES
02458071	LISDEXAMFETAMINE DIMESYLATE	Vyvanse (Off-Formulary Interchangeable) 70mg Cap	TAK	N/A	N/A	YES	NO	YES
02347156	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 20mg Cap	TAK	2.9426	0.7081	YES	NO	YES
02322951	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 30mg Cap	TAK	3.5196	0.8469	YES	NO	YES
02347164	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 40mg Cap	TAK	4.0966	0.9857	YES	NO	YES
02347172	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 60mg Cap	TAK	5.2505	1.2634	YES	NO	YES
02490277	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 60mg Chew Tab	TAK	5.2505	2.7794	YES	NO	YES
02490250	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 40mg Chew Tab	TAK	4.0966	2.1686	YES	NO	YES
02490269	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 50mg Chew Tab	TAK	4.6736	2.4740	YES	NO	YES
02490226	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 10mg Chew Tab	TAK	2.3656	1.2523	YES	NO	YES
02490234	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 20mg Chew Tab	TAK	2.9426	1.5577	YES	NO	YES
02490242	LISDEXAMFETAMINE DIMESYLATE	Vyvanse 30mg Chew Tab	TAK	3.5196	1.8631	YES	NO	YES
02248812	MIXED SALT AMPHETAMINE	Adderall XR 25mg ER Cap	TAK	3.8489	0.8305	YES	NO	YES
02248810	MIXED SALT AMPHETAMINE	Adderall XR 15mg ER Cap	TAK	3.1694	0.6838	YES	NO	YES
02248809	MIXED SALT AMPHETAMINE	Adderall XR 10mg ER Cap	TAK	2.8296	0.6105	YES	NO	YES
02248808	MIXED SALT AMPHETAMINE	Adderall XR 5mg ER Cap	TAK	2.4898	0.5372	YES	NO	YES
02248813	MIXED SALT AMPHETAMINE	Adderall XR 30mg ER Cap	TAK	4.1888	0.9038	YES	NO	YES
02248811	MIXED SALT AMPHETAMINE	Adderall XR 20mg ER Cap	TAK	3.5092	0.7572	YES	NO	YES
02389991	ONDANSETRON HYDROCHLORIDE	Ondissolve ODF (Film) 8mg	TAK	4.9930	3.8840	YES	YES	NO
02389983	ONDANSETRON HYDROCHLORIDE	Ondissolve ODF (Film) 4mg	TAK	3.2720	2.5450	YES	YES	NO
02242574	PIOGLITAZONE HCL	Actos (Off-Formulary Interchangeable) 45mg Tab	TAK	5.2710	5.2710	YES	NO	NO
02242573	PIOGLITAZONE HCL	Actos (Off-Formulary Interchangeable) 30mg Tab	TAK	3.5124	2.2017	YES	NO	NO
02242572	PIOGLITAZONE HCL	Actos (Off-Formulary Interchangeable) 15mg Tab	TAK	2.5070	1.5716	YES	NO	NO

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