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

DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Interchangeable	Limited Use	Therapeutic Notes
02553805	OMALIZUMAB	Omlyclo 75mg/0.5mL Inj Sol-0.5mL Pref Syr Pk	CEI	168.7440	168.7440	NO	YES	NO
02553813	OMALIZUMAB	Omlyclo 150mg/mL Inj Sol-1mL Pref Syr Pk	CEI	384.9600	384.9600	NO	YES	NO