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Products found: 5

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
00886157	ACYCLOVIR	Zovirax 200mg/5mL Oral Susp	GLW	0.3142	0.3142	NO	NO	NO
00634506	ACYCLOVIR	Zovirax (Not a Benefit) 200mg Tab	GSK	N/A	N/A	YES	NO	NO
01911627	ACYCLOVIR	Zovirax (Not a Benefit) 400mg Tab	GSK	N/A	N/A	YES	NO	NO
01911635	ACYCLOVIR	Zovirax 800mg Tab	GSK	5.0692	1.2673	YES	NO	NO
00569771	ACYCLOVIR	Zovirax (Off-Formulary Interchangeable) 5% Top Oint	VAL	N/A	N/A	YES	NO	NO