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
02287021	BACLOFEN	Baclofen 10mg Tab	SAI	0.1595	0.1595	YES	NO	YES
02544679	BACLOFEN	Baclofen 20mg Tab	SIV	0.3104	0.3104	YES	NO	YES
02287048	BACLOFEN	Baclofen 20mg Tab	SAI	0.3104	0.3104	YES	NO	YES
02544660	BACLOFEN	Baclofen 10mg Tab	SIV	0.1595	0.1595	YES	NO	YES