| 02524953 | MICAFUNGIN SODIUM | Micafungin Sodium for Injection (Off-Formulary Interchangeable) 50mg/Vial Inj Pd-10mL Vial Pk | JUN | 93.1000 | 93.1000 | YES | NO | NO |
| 02547236 | MICAFUNGIN SODIUM | Micafungin Sodium for Injection (Off-Formulary Interchangeable) 100mg/Vial Inj Pd-10mL Vial Pk | OMG | 186.2000 | 186.2000 | YES | NO | NO |
| 02524961 | MICAFUNGIN SODIUM | Micafungin Sodium for Injection (Off-Formulary Interchangeable) 100mg/Vial Inj Pd-10mL Vial Pk | JUN | 186.2000 | 186.2000 | YES | NO | NO |
| 02547228 | MICAFUNGIN SODIUM | Micafungin Sodium for Injection (Off-Formulary Interchangeable) 50mg/Vial Inj Pd-10mL Vial Pk | OMG | 93.1000 | 93.1000 | YES | NO | NO |