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: 4

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
02520427	POMALIDOMIDE	Apo-Pomalidomide (Off-Formulary Interchangeable) 1mg Cap	APX	425.0000	425.0000	YES	NO	NO
02520451	POMALIDOMIDE	Apo-Pomalidomide (Off-Formulary Interchangeable) 4mg Cap	APX	425.0000	425.0000	YES	NO	NO
02520443	POMALIDOMIDE	Apo-Pomalidomide (Off-Formulary Interchangeable) 3mg Cap	APX	425.0000	425.0000	YES	NO	NO
02520435	POMALIDOMIDE	Apo-Pomalidomide (Off-Formulary Interchangeable) 2mg Cap	APX	425.0000	425.0000	YES	NO	NO