| 02528991 | DEXLANSOPRAZOLE | Apo-Dexlansoprazole (Off-Formulary Interchangeable) 30mg DR Cap | APX | 2.2380 | N/A | YES | NO | NO |
| 02529025 | DEXLANSOPRAZOLE | Apo-Dexlansoprazole (Off-Formulary Interchangeable) 60mg DR Cap | APX | 2.2380 | N/A | YES | NO | NO |
| 02354950 | DEXLANSOPRAZOLE | Dexilant (Off-Formulary Interchangeable) 30mg DR Cap | TAK | N/A | N/A | YES | NO | NO |
| 02354969 | DEXLANSOPRAZOLE | Dexilant (Off-Formulary Interchangeable) 60mg DR Cap | TAK | N/A | N/A | YES | NO | NO |
| 02536390 | DEXLANSOPRAZOLE | Dexlansoprazole (Off-Formulary Interchangeable) 30mg DR Cap | ALH | 2.0526 | N/A | YES | NO | NO |
| 02536404 | DEXLANSOPRAZOLE | Dexlansoprazole (Off-Formulary Interchangeable) 60mg DR Cap | ALH | 2.0526 | N/A | YES | NO | NO |
| 02293811 | LANSOPRAZOLE | Apo-Lansoprazole 15mg DR Cap | APX | 0.5000 | 0.5000 | YES | YES | NO |
| 02293838 | LANSOPRAZOLE | Apo-Lansoprazole 30mg DR Cap | APX | 0.5000 | 0.5000 | YES | YES | NO |
| 02410389 | LANSOPRAZOLE | Lansoprazole 30mg DR Cap | SIV | 0.5000 | 0.5000 | YES | YES | NO |
| 02385767 | LANSOPRAZOLE | Lansoprazole 15mg DR Cap | SIV | 0.5000 | 0.5000 | YES | YES | NO |
| 02357690 | LANSOPRAZOLE | Lansoprazole 30mg DR Cap | SAI | 0.5000 | 0.5000 | YES | YES | NO |
| 02357682 | LANSOPRAZOLE | Lansoprazole 15mg DR Cap | SAI | 0.5000 | 0.5000 | YES | YES | NO |
| 02353849 | LANSOPRAZOLE | Mylan-Lansoprazole 30mg DR Cap | MYL | 0.5000 | 0.5000 | YES | YES | NO |
| 02353830 | LANSOPRAZOLE | Mylan-Lansoprazole 15mg DR Cap | MYL | 0.5000 | 0.5000 | YES | YES | NO |
| 02165511 | LANSOPRAZOLE | Prevacid 30mg DR Cap | TPA | 2.4338 | 0.5000 | YES | YES | NO |
| 02165503 | LANSOPRAZOLE | Prevacid 15mg DR Cap | TPA | 2.4338 | 0.5000 | YES | YES | NO |
| 02385643 | LANSOPRAZOLE | Sandoz Lansoprazole 15mg DR Cap | SDZ | 0.5000 | 0.5000 | YES | YES | NO |
| 02385651 | LANSOPRAZOLE | Sandoz Lansoprazole 30mg DR Cap | SDZ | 0.5000 | 0.5000 | YES | YES | NO |
| 02402629 | LANSOPRAZOLE | Taro-Lansoprazole 30mg DR Cap | SPC | 0.5000 | 0.5000 | YES | YES | NO |
| 02402610 | LANSOPRAZOLE | Taro-Lansoprazole 15mg DR Cap | SPC | 0.5000 | 0.5000 | YES | YES | NO |
| 02280515 | LANSOPRAZOLE | Teva-Lansoprazole 15mg DR Cap | TEV | 0.5000 | 0.5000 | YES | YES | NO |
| 02280523 | LANSOPRAZOLE | Teva-Lansoprazole 30mg DR Cap | TEV | 0.5000 | 0.5000 | YES | YES | NO |
| 02470780 | LANSOPRAZOLE & CLARITHROMYCIN & AMOXICILLIN | AA-LansoprazoleAmoxicillinClarithromycin 30mg & 500mg & 500mg Tab/Cap Pk | AAP | 67.9100 | 67.9100 | YES | YES | NO |
| 02238525 | LANSOPRAZOLE & CLARITHROMYCIN & AMOXICILLIN | Hp-PAC (Not a Benefit) 30mg & 500mg & 500mg Tab/Cap Pk | TPA | N/A | N/A | YES | NO | NO |