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Products found: 17New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02239607CITALOPRAM HYDROBROMIDECelexa 20mg TabVLH1.77170.1332YESNONO
02239608CITALOPRAM HYDROBROMIDECelexa 40mg TabVLH1.77170.1332YESNONO
02391449ESCITALOPRAMCipralex MELTZ (Not a Benefit) 10mg Orally Disintegrating TabVLHN/AN/AYESNONO
02391457ESCITALOPRAMCipralex MELTZ (Not a Benefit) 20mg Orally Disintegrating TabletVLHN/AN/AYESNONO
02263238ESCITALOPRAMCipralex 10mg TabVLH2.24810.3109YESNONO
02263254ESCITALOPRAMCipralex 20mg TabVLH2.40030.3310YESNONO
02156032FLUPENTIXOL DECANOATEFluanxol Depot 20mg/mL Inj Sol-1mL Amp PkVLH9.88529.8852NONONO
02156040FLUPENTIXOL DECANOATEFluanxol Depot 100mg/mL Inj Sol-1mL Amp PkVLH49.426049.4260NONONO
02156008FLUPENTIXOL DIHYDROCHLORIDEFluanxol 0.5mg TabVLH0.34150.3415NONONO
02156016FLUPENTIXOL DIHYDROCHLORIDEFluanxol 3mg TabVLH0.73760.7376NONONO
02260638MEMANTINE HCLEbixa (Off-Formulary Interchangeable) 10mg TabVLHN/AN/AYESNONO
02432927VORTIOXETINE HYDROBROMIDETrintellix 10mg TabVLH3.01923.0192NONONO
02432943VORTIOXETINE HYDROBROMIDETrintellix 20mg TabVLH3.27793.2779NONONO
02432919VORTIOXETINE HYDROBROMIDETrintellix 5mg TabVLH2.88242.8824NONONO
02230406ZUCLOPENTHIXOL DECANOATEClopixol Depot 200mg/mL Inj-1mL PkVLH20.515320.5153NONONO
02230402ZUCLOPENTHIXOL DIHYDROCHLORIDEClopixol 10mg TabVLH0.52770.5277NONONO
02230403ZUCLOPENTHIXOL DIHYDROCHLORIDEClopixol 25mg TabVLH1.31901.3190NONONO