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
02131064	BACLOFEN	Lioresal Intrathecal (Off-Formulary Interchangeable) 2mg/mL Inj Sol (Preservative-Free)	NOV	N/A	N/A	YES	NO	YES
02131048	BACLOFEN	Lioresal Intrathecal (Off-Formulary Interchangeable) 0.05mg/mL Inj Sol-1mL Pk (Preservative-Free)	NOV	N/A	N/A	YES	NO	YES
02131056	BACLOFEN	Lioresal Intrathecal (Off-Formulary Interchangeable) 0.5mg/mL Inj Sol-20mL Pk (Preservative-Free)	NOV	N/A	N/A	YES	NO	YES