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
02393751	PIRFENIDONE	Esbriet (Off-Formulary Interchangeable) 267mg Cap	INT	N/A	N/A	YES	NO	NO
02464489	PIRFENIDONE	Esbriet (Off-Formulary Interchangeable) 267mg Tab	HLR	13.4240	6.7120	YES	NO	NO
02464500	PIRFENIDONE	Esbriet (Off-Formulary Interchangeable) 801mg Tab	HLR	40.2720	20.1361	YES	NO	NO