02413647 | BACLOFEN | Baclofen Intrathecal (Off-Formulary Interchangeable) 2mg/mL Inj Sol (Preservative-Free) | STE | 35.4500 | 35.4500 | YES | NO | YES |
02485516 | BACLOFEN | Baclofen Intrathecal (Off-Formulary Interchangeable) 2mg/mL Inj Sol (Preservative-Free) | AVP | 35.4500 | 35.4500 | YES | NO | YES |
02413639 | BACLOFEN | Baclofen Intrathecal (Off-Formulary Interchangeable) 0.5mg/mL Inj Sol-20mL Pk (Preservative-Free) | STE | 177.2500 | 177.2500 | YES | NO | YES |
02485508 | BACLOFEN | Baclofen Intrathecal (Off-Formulary Interchangeable) 0.5mg/mL Inj Sol-20mL Pk (Preservative-Free) | AVP | 177.2500 | 177.2500 | YES | NO | YES |