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Products found: 75

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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
00548359	ALPRAZOLAM	Xanax 0.25mg Tab	UJC	0.3678	0.0633	YES	NO	NO
00548367	ALPRAZOLAM	Xanax 0.5mg Tab	UJC	0.4399	0.0757	YES	NO	NO
00723770	ALPRAZOLAM	Xanax (Off-Formulary Interchangeable) 1mg Tab	UJC	N/A	N/A	YES	NO	NO
00813958	ALPRAZOLAM	Xanax TS (Off-Formulary Interchangeable) 2mg Tab	UJC	N/A	N/A	YES	NO	NO
00878901	AMLODIPINE	Norvasc (Off-Formulary Interchangeable) 2.5mg Tab	UJC	N/A	N/A	YES	NO	NO
00878928	AMLODIPINE	Norvasc 5mg Tab	UJC	1.7770	0.1343	YES	NO	NO
00878936	AMLODIPINE	Norvasc 10mg Tab	UJC	2.5936	0.1993	YES	NO	NO
02273233	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 5mg & 10mg Tab	UJC	2.8536	1.1603	YES	NO	YES
02273241	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 5mg & 20mg Tab	UJC	3.3651	1.3683	YES	NO	YES
02273268	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 5mg & 40mg Tab	UJC	3.5570	0.7232	YES	NO	YES
02273276	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 5mg & 80mg Tab	UJC	3.5570	0.7232	YES	NO	YES
02273284	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 10mg & 10mg Tab	UJC	3.0128	1.2250	YES	NO	YES
02273292	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 10mg & 20mg Tab	UJC	3.7560	1.5272	YES	NO	YES
02273306	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 10mg & 40mg Tab	UJC	3.9351	0.8000	YES	NO	YES
02273314	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Caduet 10mg & 80mg Tab	UJC	3.9351	0.8000	YES	NO	YES
02362775	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 5mg & 40mg Tab	UJC	0.7232	0.7232	YES	NO	YES
02362767	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 5mg & 20mg Tab	UJC	1.3683	1.3683	YES	NO	YES
02362759	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 5mg & 10mg Tab	UJC	1.1603	1.1603	YES	NO	YES
02362783	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 5mg & 80mg Tab	UJC	0.7232	0.7232	YES	NO	YES
02362791	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 10mg & 10mg Tab	UJC	1.2250	1.2250	YES	NO	YES
02362805	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 10mg & 20mg Tab	UJC	1.5272	1.5272	YES	NO	YES
02362813	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 10mg & 40mg Tab	UJC	0.8000	0.8000	YES	NO	YES
02362821	AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM	Gd-Amlodipine/Atorvastatin 10mg & 80mg Tab	UJC	0.8000	0.8000	YES	NO	YES
02230714	ATORVASTATIN CALCIUM	Lipitor 40mg Tab	UJC	2.9379	0.2342	YES	NO	NO
02230713	ATORVASTATIN CALCIUM	Lipitor 20mg Tab	UJC	2.7329	0.2179	YES	NO	NO
02230711	ATORVASTATIN CALCIUM	Lipitor 10mg Tab	UJC	2.1864	0.1743	YES	NO	NO
02243097	ATORVASTATIN CALCIUM	Lipitor 80mg Tab	UJC	2.9379	0.2342	YES	NO	NO
02239942	CELECOXIB	Celebrex 200mg Cap	UJC	1.6966	0.2558	YES	YES	YES
02239941	CELECOXIB	Celebrex 100mg Cap	UJC	0.8482	0.1279	YES	YES	YES
02342243	ELETRIPTAN	Gd-Eletriptan (Off-Formulary Interchangeable) 40mg Tab	UJC	10.0850	N/A	YES	NO	NO
02342235	ELETRIPTAN	Gd-Eletriptan (Off-Formulary Interchangeable) 20mg Tab	UJC	10.0850	N/A	YES	NO	NO
02256290	ELETRIPTAN	Relpax (Off-Formulary Interchangeable) 20mg Tab	UJC	N/A	N/A	YES	NO	NO
02256304	ELETRIPTAN	Relpax (Off-Formulary Interchangeable) 40mg Tab	UJC	N/A	N/A	YES	NO	NO
02323052	EPLERENONE	Inspra 25mg Tab	UJC	3.3573	1.3730	YES	YES	NO
02323060	EPLERENONE	Inspra 50mg Tab	UJC	3.3573	1.3730	YES	YES	NO
02084279	GABAPENTIN	Neurontin 300mg Cap	UJC	1.3430	0.1012	YES	NO	NO
02084260	GABAPENTIN	Neurontin 100mg Cap	UJC	0.5615	0.0416	YES	NO	NO
02084287	GABAPENTIN	Neurontin 400mg Cap	UJC	1.6005	0.1206	YES	NO	NO
02239717	GABAPENTIN	Neurontin (Off-Formulary Interchangeable) 600mg Tab	UJC	N/A	N/A	YES	NO	NO
02239718	GABAPENTIN	Neurontin (Off-Formulary Interchangeable) 800mg Tab	UJC	N/A	N/A	YES	NO	NO
02373041	LATANOPROST	Gd-Latanoprost 0.005% Oph Sol-2.5mL Pk	UJC	9.5830	9.5830	YES	YES	NO
02231493	LATANOPROST	Xalatan 0.005% Oph Sol-2.5mL Pk	UJC	36.2736	9.5830	YES	YES	NO
02373068	LATANOPROST & TIMOLOL MALEATE	Gd-Latanoprost/Timolol 50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk	UJC	11.0700	11.0670	YES	YES	NO
02246619	LATANOPROST & TIMOLOL MALEATE	Xalacom 50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk	UJC	41.0578	11.0670	YES	YES	NO
00037621	NITROGLYCERIN	Nitrostat 0.6mg SL Tab	UJC	0.1888	0.1888	NO	NO	NO
00037613	NITROGLYCERIN	Nitrostat 0.3mg SL Tab	UJC	0.1888	0.1888	NO	NO	NO
00023450	PHENYTOIN (DIPHENYLHYDANTOIN)	Dilantin-125 Suspension 25mg/mL O/L	UJC	0.0697	0.0444	YES	NO	NO
00023442	PHENYTOIN (DIPHENYLHYDANTOIN)	Dilantin-30 Suspension 6mg/mL O/L	UJC	0.0588	0.0588	NO	NO	NO
00023698	PHENYTOIN (DIPHENYLHYDANTOIN)	Dilantin Infatabs 50mg Tab	UJC	0.1092	0.1092	NO	NO	NO
00022772	PHENYTOIN (DIPHENYLHYDANTOIN) SODIUM	Dilantin 30mg Cap	UJC	0.2369	0.2369	NO	NO	NO
00022780	PHENYTOIN (DIPHENYLHYDANTOIN) SODIUM	Dilantin 100mg Cap	UJC	0.1247	0.0665	YES	NO	NO
02268434	PREGABALIN	Lyrica 75mg Cap	UJC	2.0747	0.3007	YES	NO	NO
02268426	PREGABALIN	Lyrica 50mg Cap	UJC	1.6034	0.2324	YES	NO	NO
02268418	PREGABALIN	Lyrica 25mg Cap	UJC	1.0222	0.1481	YES	NO	NO
02268450	PREGABALIN	Lyrica 150mg Cap	UJC	2.8597	0.4145	YES	NO	NO
02268485	PREGABALIN	Lyrica 300mg Cap	UJC	2.8597	0.4145	YES	NO	NO
02268477	PREGABALIN	Lyrica (Off-Formulary Interchangeable) 225mg Cap	UJC	N/A	N/A	YES	NO	NO
02132702	SERTRALINE HCL	Zoloft 25mg Cap	UJC	1.0460	0.1516	YES	NO	YES
01962817	SERTRALINE HCL	Zoloft 50mg Cap	UJC	2.0919	0.3032	YES	NO	YES
01962779	SERTRALINE HCL	Zoloft 100mg Cap	UJC	2.2791	0.3303	YES	NO	YES
02279401	SILDENAFIL	Revatio (Off-Formulary Interchangeable) 20mg Tab	UJC	13.5314	7.2940	YES	NO	NO
02239766	SILDENAFIL	Viagra (Off-Formulary Interchangeable) 25mg Tab	UJC	N/A	N/A	YES	NO	NO
02239768	SILDENAFIL	Viagra (Off-Formulary Interchangeable) 100mg Tab	UJC	N/A	N/A	YES	NO	NO
02239767	SILDENAFIL	Viagra (Off-Formulary Interchangeable) 50mg Tab	UJC	N/A	N/A	YES	NO	NO
02244613	TOLTERODINE L-TARTRATE	Detrol LA 4mg SR Cap	UJC	2.3698	0.9822	YES	YES	NO
02244612	TOLTERODINE L-TARTRATE	Detrol LA 2mg SR Cap	UJC	2.3698	0.9822	YES	YES	NO
02239064	TOLTERODINE L-TARTRATE	Detrol 1mg Tab	UJC	1.1847	0.4910	YES	YES	NO
02239065	TOLTERODINE L-TARTRATE	Detrol 2mg Tab	UJC	1.1847	0.4910	YES	YES	NO
02237280	VENLAFAXINE HCL	Effexor XR 75mg ER Cap	UJC	2.3242	0.1825	YES	NO	NO
02237279	VENLAFAXINE HCL	Effexor XR 37.5mg ER Cap	UJC	1.1625	0.0913	YES	NO	NO
02237282	VENLAFAXINE HCL	Effexor XR 150mg ER Cap	UJC	2.4546	0.1927	YES	NO	NO
02298627	ZIPRASIDONE HCL MONOHYDRATE	Zeldox 80mg Cap	UJC	2.5658	1.5786	YES	NO	NO
02298619	ZIPRASIDONE HCL MONOHYDRATE	Zeldox 60mg Cap	UJC	2.5658	1.5786	YES	NO	NO
02298600	ZIPRASIDONE HCL MONOHYDRATE	Zeldox 40mg Cap	UJC	2.5658	1.5786	YES	NO	NO
02298597	ZIPRASIDONE HCL MONOHYDRATE	Zeldox 20mg Cap	UJC	2.2398	1.3784	YES	NO	NO

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