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: 4

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
09857310	NUTRITIONAL PRODUCT	Jevity 1.5 Cal 1.5kcal/mL Liq-1000mL Pk	ABB	N/A	11.5200	NO	NO	NO
09857312	NUTRITIONAL PRODUCT	Jevity 1.5 Cal 1.5kcal/mL Liq-1500mL Pk	ABB	N/A	17.2800	NO	NO	NO
09857344	NUTRITIONAL PRODUCT	Jevity 1.5 Cal 1.5kcal/mL Liq-235mL Pk	ABB	N/A	2.7025	NO	NO	NO
09858367	NUTRITIONAL PRODUCT	Jevity 1.5 Cal 1.5kcal/mL Liq-237mL Reclosable Carton Pk	ABB	N/A	2.7302	NO	NO	NO