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Products found: 11

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
01997580	5-AMINOSALICYLIC ACID	Asacol (Not a Benefit) 400mg Tab	WAR	N/A	N/A	YES	NO	NO
00297143	ETHINYL ESTRADIOL & NORETHINDRONE ACETATE	Loestrin 1.5/30 0.03mg & 1.5mg Tab-21 Pk	WAR	16.9915	16.9915	NO	NO	NO
00315966	ETHINYL ESTRADIOL & NORETHINDRONE ACETATE	Minestrin 1/20 0.02mg & 1mg Tab-21 Pk	WAR	16.9915	16.9915	NO	NO	NO
00353027	ETHINYL ESTRADIOL & NORETHINDRONE ACETATE	Loestrin 1.5/30 0.03mg & 1.5mg Tab-28 Pk	WAR	16.9915	16.9915	NO	NO	NO
00343838	ETHINYL ESTRADIOL & NORETHINDRONE ACETATE	Minestrin 1/20 0.02mg & 1mg Tab-28 Pk	WAR	16.9915	16.9915	NO	NO	NO
02063662	NITROFURANTOIN MONO/MICRO CRYSTALS	MacroBID (Not a Benefit) 100mg Cap	WAR	N/A	N/A	YES	NO	NO
02370417	RISEDRONATE SODIUM	Actonel DR 35mg DR Tab	WAR	11.8653	2.9663	YES	NO	NO
02316838	RISEDRONATE SODIUM	Actonel 150mg Tab	WAR	47.3370	11.1875	YES	NO	NO
02246896	RISEDRONATE SODIUM	Actonel (Not a Benefit) 35mg Tab	WAR	N/A	N/A	YES	NO	NO
02239146	RISEDRONATE SODIUM	Actonel (Not a Benefit) 30mg Tab	WAR	N/A	N/A	YES	NO	NO
02242518	RISEDRONATE SODIUM	Actonel (Not a Benefit) 5mg Tab	WAR	N/A	N/A	YES	NO	NO