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Products found: 62New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02428725ALENDRONATEVan-Alendronate 10mg TabVAN0.49870.4987YESNONO
02428733ALENDRONATEVan-Alendronate 70mg TabVAN2.10142.1014YESNONO
02428717ALENDRONATEVan-Alendronate (Off-Formulary Interchangeable) 5mg TabVAN1.0370N/AYESNONO
02426994AMLODIPINEVan-Amlodipine 10mg TabVAN0.19930.1993YESNONO
02426986AMLODIPINEVan-Amlodipine 5mg TabVAN0.13430.1343YESNONO
02427818ANASTROZOLEVan-Anastrozole 1mg TabVAN0.95220.9522YESNONO
02428709BICALUTAMIDEVan-Bicalutamide 50mg TabVAN1.26901.2690YESNONO
02427028CIPROFLOXACINVan-Ciprofloxacin 750mg TabVAN0.92010.9201YESNOYES
02427001CIPROFLOXACINVan-Ciprofloxacin 500mg TabVAN0.50250.5025YESNOYES
02426978CIPROFLOXACINVan-Ciprofloxacin 250mg TabVAN0.44540.4454YESNOYES
02438747CITALOPRAM HYDROBROMIDEVan-Citalopram 20mg TabVAN0.13320.1332YESNONO
02438755CITALOPRAM HYDROBROMIDEVan-Citalopram 40mg TabVAN0.13320.1332YESNONO
02426943DONEPEZIL HCLVan-Donepezil 5mg TabVAN0.45860.4586YESYESNO
02426951DONEPEZIL HCLVan-Donepezil 10mg TabVAN0.45860.4586YESYESNO
02451271DORZOLAMIDE HCL & TIMOLOL MALEATEVan-Dorzolamide-Timolol 2% & 0.5% Oph SolVAN2.09512.0951YESYESNO
02428741FINASTERIDEVan-Finasteride 5mg TabVAN0.46330.4633YESYESNO
02432420FLUOXETINE HCLVan-Fluoxetine 20mg CapVAN0.33110.3311YESNOYES
02432412FLUOXETINE HCLVan-Fluoxetine (Off-Formulary Interchangeable) 10mg CapVAN1.1773N/AYESNOYES
02431424GABAPENTINVan-Gabapentin 400mg CapVAN0.12060.1206YESNONO
02431408GABAPENTINVan-Gabapentin 100mg CapVAN0.04160.0416YESNONO
02431416GABAPENTINVan-Gabapentin 300mg CapVAN0.10120.1012YESNONO
02432552GABAPENTINVan-Gabapentin (Off-Formulary Interchangeable) 800mg TabVAN1.7393N/AYESNONO
02432544GABAPENTINVan-Gabapentin (Off-Formulary Interchangeable) 600mg TabVAN1.3045N/AYESNONO
02427095IRBESARTANVan-Irbesartan 150mg TabVAN0.22810.2281YESNONO
02427087IRBESARTANVan-Irbesartan 75mg TabVAN0.22810.2281YESNONO
02427109IRBESARTANVan-Irbesartan 300mg TabVAN0.22810.2281YESNONO
02428156LETROZOLEVan-Letrozole 2.5mg TabVAN1.37801.3780YESNONO
02426617LOSARTAN POTASSIUMVan-Losartan 100mg TabVAN0.31470.3147YESNONO
02426609LOSARTAN POTASSIUMVan-Losartan 50mg TabVAN0.31470.3147YESNONO
02426595LOSARTAN POTASSIUMVan-Losartan 25mg TabVAN0.31470.3147YESNONO
02433680MYCOPHENOLATE MOFETILVan-Mycophenolate 250mg CapVAN0.37120.3712YESNONO
02432625MYCOPHENOLATE MOFETILVan-Mycophenolate 500mg TabVAN0.74230.7423YESNONO
02428008OLANZAPINEVan-Olanzapine 2.5mg TabVAN0.17720.1772YESNONO
02428016OLANZAPINEVan-Olanzapine 5mg TabVAN0.35440.3544YESNONO
02428024OLANZAPINEVan-Olanzapine 7.5mg TabVAN0.53160.5316YESNONO
02428032OLANZAPINEVan-Olanzapine 10mg TabVAN0.70880.7088YESNONO
02428040OLANZAPINEVan-Olanzapine 15mg TabVAN1.06311.0631YESNONO
02432404OMEPRAZOLEVan-Omeprazole DR Tab 20mgVAN0.22870.2287YESYESNO
09857530OMEPRAZOLE MAGNESIUMVan-Omeprazole DR Tab 20mgVAN0.22870.2287YESYESNO
02448467ONDANSETRON HYDROCHLORIDEVan-Ondansetron 8mg TabVAN5.11103.8840YESYESNO
02448440ONDANSETRON HYDROCHLORIDEVan-Ondansetron 4mg TabVAN3.34952.5450YESYESNO
02428164PANTOPRAZOLE SODIUMVan-Pantoprazole 40mg Ent TabVAN0.20160.2016YESYESNO
02434121PIOGLITAZONE HCLVan-Pioglitazone (Off-Formulary Interchangeable) 15mg TabVAN1.57161.5716YESNONO
02434148PIOGLITAZONE HCLVan-Pioglitazone (Off-Formulary Interchangeable) 30mg TabVAN2.20172.2017YESNONO
02434156PIOGLITAZONE HCLVan-Pioglitazone (Off-Formulary Interchangeable) 45mg TabVAN3.31053.3105YESNONO
02434032QUETIAPINEVan-Quetiapine 100mg TabVAN0.13180.1318YESNONO
02434040QUETIAPINEVan-Quetiapine 200mg TabVAN0.26470.2647YESNONO
02434024QUETIAPINEVan-Quetiapine 25mg TabVAN0.04940.0494YESNONO
02434059QUETIAPINEVan-Quetiapine 300mg TabVAN0.38630.3863YESNONO
02438895RAMIPRILVan-Ramipril Cap 10mgVAN0.10340.1034YESNONO
02438887RAMIPRILVan-Ramipril Cap 5mgVAN0.08170.0817YESNONO
02438879RAMIPRILVan-Ramipril Cap 2.5mgVAN0.08170.0817YESNONO
02438860RAMIPRILVan-Ramipril Cap 1.25mgVAN0.07080.0708YESNONO
02438909RAMIPRILVan-Ramipril (Off-Formulary Interchangeable) 15mg CapVAN0.8550N/AYESNONO
02448505RIZATRIPTANVan-Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating TabVAN11.165011.1650YESNONO
02427788SERTRALINE HCLVan-Sertraline 50mg CapVAN0.30320.3032YESNOYES
02427761SERTRALINE HCLVan-Sertraline 25mg CapVAN0.15160.1516YESNOYES
02427796SERTRALINE HCLVan-Sertraline 100mg CapVAN0.33030.3303YESNOYES
02431866SILDENAFILVan-Sildenafil (Off-Formulary Interchangeable) 100mg TabVAN9.2006N/AYESNONO
02434164TELMISARTANVan-Telmisartan 40mg TabVAN0.21610.2161YESNONO
02434172TELMISARTANVan-Telmisartan 80mg TabVAN0.21610.2161YESNONO
02438763ZOLMITRIPTANVan-Zolmitriptan ODT (Off-Formulary Interchangeable) 2.5mg Orally Disintegrating TabVAN6.86336.8633YESNONO