Search Results

You can sort your results in ascending / descending order by clicking on the column headings, with the exception of Therapeutic Notes.

Products found: 4

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
02245619	GLATIRAMER ACETATE	Copaxone 20mg/mL Inj Sol Pref Syr-1mL Pk	TEI	50.6522	27.8587	YES	YES	NO
02542250	RANIBIZUMAB	Ranopto 10mg/mL Inj Sol-0.23mL Vial Pk (Preservative-Free)	TEI	900.0000	900.0000	NO	YES	NO
02284642	RASAGILINE MESYLATE	Azilect (Off-Formulary Interchangeable) 0.5mg Tab	TEI	9.5147	6.1285	YES	NO	NO
02284650	RASAGILINE MESYLATE	Azilect (Off-Formulary Interchangeable) 1mg Tab	TEI	9.5147	6.1285	YES	NO	NO