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Products found: 22

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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
02244757	ABACAVIR & LAMIVUDINE & ZIDOVUDINE	Trizivir 300mg & 150mg & 300mg Tab	VIH	19.0426	13.6425	YES	NO	NO
02240358	ABACAVIR SULFATE	Ziagen 20mg/mL O/L	VIH	0.6142	0.6142	NO	NO	NO
02240357	ABACAVIR SULFATE	Ziagen 300mg Tab	VIH	8.6725	3.4828	YES	NO	NO
02269341	ABACAVIR SULFATE & LAMIVUDINE	Kivexa 600mg & 300mg Tab	VIH	28.3100	5.9875	YES	NO	NO
02547473	CABOTEGRAVIR	Apretude 200mg/mL Inj Sol-ER Susp 3mL Vial Kit Pk	VIH	1710.0000	1710.0000	NO	NO	NO
02547465	CABOTEGRAVIR	Apretude 30mg Tab	VIH	30.0750	30.0750	NO	NO	NO
02497204	CABOTEGRAVIR	Vocabria 30mg Tab	VIH	30.8270	30.8270	NO	NO	NO
02497220	CABOTEGRAVIR & RILPIVIRINE	Cabenuva 200mg/mL & 300mg/mL Inj Sol-2mL Kit	VIH	1316.4700	1316.4700	NO	NO	NO
02497247	CABOTEGRAVIR & RILPIVIRINE	Cabenuva 200mg/mL & 300mg/mL Inj Sol-3mL Kit	VIH	2568.7100	2568.7100	NO	NO	NO
02414945	DOLUTEGRAVIR	Tivicay 50mg Tab	VIH	23.5367	23.5367	NO	NO	NO
02430932	DOLUTEGRAVIR & ABACAVIR & LAMIVUDINE	Triumeq 50mg & 600mg & 300mg Tab	VIH	52.1447	52.1447	NO	NO	NO
02475774	DOLUTEGRAVIR & RILPIVIRINE	Juluca 50mg & 25mg Tab	VIH	40.9343	40.9343	NO	NO	NO
02491753	DOLUTEGRAVIR SODIUM/LAMIVUDINE	Dovato 50mg & 300mg Tab	VIH	35.7367	35.7367	NO	NO	NO
02261553	FOSAMPRENAVIR CALCIUM	Telzir 50mg/mL Oral Susp	VIH	0.6535	0.6535	NO	NO	NO
02261545	FOSAMPRENAVIR CALCIUM	Telzir 700mg Tab	VIH	9.4389	9.4389	NO	NO	NO
02192691	LAMIVUDINE	3TC 10mg/mL O/L	VIH	0.4267	0.4267	NO	NO	YES
02192683	LAMIVUDINE	3TC 150mg Tab	VIH	6.6082	2.7323	YES	NO	YES
02247825	LAMIVUDINE	3TC 300mg Tab	VIH	13.2673	5.4857	YES	NO	YES
02239213	LAMIVUDINE & ZIDOVUDINE	Combivir 150mg & 300mg Tab	VIH	13.2262	2.6103	YES	NO	NO
02299844	MARAVIROC	Celsentri 150mg Tab	VIH	21.6208	21.6208	NO	NO	NO
02299852	MARAVIROC	Celsentri 300mg Tab	VIH	21.6208	21.6208	NO	NO	NO
01902660	ZIDOVUDINE	Retrovir (Off-Formulary Interchangeable) 100mg Cap	VIH	N/A	N/A	YES	NO	NO

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