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: 2
New Search
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
02511274
ELETRIPTAN
Eletriptan (Off-Formulary Interchangeable) 40mg Tab
SAI
10.0850
N/A
YES
NO
NO
02511266
ELETRIPTAN
Eletriptan (Off-Formulary Interchangeable) 20mg Tab
SAI
10.0850
N/A
YES
NO
NO
Back to Top
New Search