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Products found: 9New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInterchangeableLimited UseTherapeutic Notes
025623675-AMINOSALICYLIC ACIDZDS-Mesalamine Suppositories 1000mg SupZDS1.90971.9097YESNONO
02487837LACOSAMIDEZDS-Lacosamide 200mg TabZDS1.45001.4500YESYESNO
02487802LACOSAMIDEZDS-Lacosamide 50mg TabZDS0.63130.6313YESYESNO
02487810LACOSAMIDEZDS-Lacosamide 100mg TabZDS0.87500.8750YESYESNO
02487829LACOSAMIDEZDS-Lacosamide 150mg TabZDS1.17631.1763YESYESNO
02561298LIOTHYRONINE (SODIUM)ZDS-Liothyronine (Off-Formulary Interchangeable) 5mcg TabZDS1.15871.1587YESNONO
02561301LIOTHYRONINE (SODIUM)ZDS-Liothyronine (Off-Formulary Interchangeable) 25mcg TabZDS1.25951.2595YESNONO
02559900VARENICLINE TARTRATEZDS-Varenicline 1.0mg TabZDS0.46180.4618YESYESNO
02559897VARENICLINE TARTRATEZDS-Varenicline 0.5mg TabZDS0.46180.4618YESYESNO