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	Interchangeable	Limited Use	Therapeutic Notes
02453819	ALIROCUMAB	Praluent 75mg/mL Inj Sol-Pref Pen	SAC	278.9450	278.9450	NO	YES	NO
02453835	ALIROCUMAB	Praluent 150mg/mL Inj Sol-Pref Pen	SAC	278.9450	278.9450	NO	YES	NO
02547732	ALIROCUMAB	Praluent 300mg/2mL Inj Sol-Pref Pen 2mL Pk (Preservative-Free)	SAC	557.8900	557.8900	NO	YES	NO