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
02516055
DIMETHYL FUMARATE
Jamp Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR Cap
JPC
18.3867
18.3867
YES
NO
NO
02516047
DIMETHYL FUMARATE
Jamp Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR Cap
JPC
9.1933
9.1933
YES
NO
NO
Back to Top
New Search