Search Results

You can sort your results in ascending / descending order by clicking on the column headings, with the exception of Therapeutic Notes.

Products found: 3

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
02469901	INSULIN LISPRO	Admelog 100U/mL Inj Sol-10mL Vial Pk	SAC	22.7000	22.7000	NO	NO	NO
02469898	INSULIN LISPRO	Admelog 100U/mL Inj Sol-5x3mL Cart Pk	SAC	45.0000	45.0000	NO	NO	NO
02469871	INSULIN LISPRO	Admelog 100U/mL Inj Sol-5x3mL SoloSTAR Pref Pen Pk	SAC	45.0000	45.0000	NO	NO	NO