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Products found: 5New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
00886157ACYCLOVIRZovirax 200mg/5mL Oral SuspGLW0.31420.3142NONONO
00634506ACYCLOVIRZovirax (Not a Benefit) 200mg TabGSKN/AN/AYESNONO
01911635ACYCLOVIRZovirax 800mg TabGSK5.06921.2673YESNONO
01911627ACYCLOVIRZovirax (Not a Benefit) 400mg TabGSKN/AN/AYESNONO
00569771ACYCLOVIRZovirax (Off-Formulary Interchangeable) 5% Top OintVALN/AN/AYESNONO