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
09857109	NUTRITIONAL PRODUCT	Jevity 1.2 Cal 1.2kcal/mL Liq-1000mL Pk	ABB	N/A	9.1300	NO	NO	NO
09857117	NUTRITIONAL PRODUCT	Jevity 1.2 Cal 1.2kcal/mL Liq-1500mL Pk	ABB	N/A	13.7000	NO	NO	NO
09854096	NUTRITIONAL PRODUCT	Jevity 1.2 Cal 1.2kcal/mL Liq-235mL Pk	ABB	N/A	2.1700	NO	NO	NO