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Products found: 53

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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
02339102	ESOMEPRAZOLE	Apo-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	APX	1.8690	N/A	YES	NO	NO
02520702	ESOMEPRAZOLE	Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	JPC	1.8690	N/A	YES	NO	NO
02442507	ESOMEPRAZOLE	Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	SIV	1.8690	N/A	YES	NO	NO
02431173	ESOMEPRAZOLE	Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	SAI	1.8690	N/A	YES	NO	NO
02520117	ESOMEPRAZOLE	M-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	MAT	1.8690	N/A	YES	NO	NO
02479427	ESOMEPRAZOLE	Myl-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	MYL	1.8690	N/A	YES	NO	NO
02244522	ESOMEPRAZOLE	Nexium DR Tab (Off-Formulary Interchangeable) 40mg	AZC	N/A	N/A	YES	NO	NO
02528487	ESOMEPRAZOLE	PMSC-Esomeprazole DR (Off-Formulary Interchangeable) 40mg	PMS	1.8690	N/A	YES	NO	NO
02423987	ESOMEPRAZOLE	Ran-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	RAN	1.8690	N/A	YES	NO	NO
02460939	ESOMEPRAZOLE	Sandoz Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	SDZ	1.8690	N/A	YES	NO	NO
02423863	ESOMEPRAZOLE	Teva-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mg	TEV	1.8690	N/A	YES	NO	NO
02339099	ESOMEPRAZOLE	Apo-Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	APX	1.8690	N/A	YES	NO	NO
02520699	ESOMEPRAZOLE	Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	JPC	1.8690	N/A	YES	NO	NO
02442493	ESOMEPRAZOLE	Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	SIV	1.8690	N/A	YES	NO	NO
02535335	ESOMEPRAZOLE	Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	SAI	1.8690	N/A	YES	NO	NO
02520109	ESOMEPRAZOLE	M-Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	MAT	1.8690	N/A	YES	NO	NO
02479419	ESOMEPRAZOLE	Myl-Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	MYL	1.8690	N/A	YES	NO	NO
02244521	ESOMEPRAZOLE	Nexium (Off-Formulary Interchangeable) 20mg DR Tab	AZC	N/A	N/A	YES	NO	NO
02528479	ESOMEPRAZOLE	PMSC-Esomeprazole DR (Off-Formulary Interchangeable) 20mg DR Tab	PMS	1.8690	N/A	YES	NO	NO
02423979	ESOMEPRAZOLE	Ran-Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	RAN	1.8690	N/A	YES	NO	NO
02460920	ESOMEPRAZOLE	Sandoz Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	SDZ	1.8690	N/A	YES	NO	NO
02423855	ESOMEPRAZOLE	Teva-Esomeprazole (Off-Formulary Interchangeable) 20mg DR Tab	TEV	1.8690	N/A	YES	NO	NO
02458608	NAPROXEN & ESOMEPRAZOLE MAGNESIUM	Mylan-Naproxen & Esomeprazole MR (Off-Formulary Interchangeable) 375mg & 20mg MR Tab	MYL	0.9308	N/A	YES	NO	YES
02443449	NAPROXEN & ESOMEPRAZOLE MAGNESIUM	Mylan-Naproxen & Esomeprazole MR (Off-Formulary Interchangeable) 500mg & 20mg MR Tab	MYL	0.9274	N/A	YES	NO	YES
02361728	NAPROXEN & ESOMEPRAZOLE MAGNESIUM	Vimovo (Off-Formulary Interchangeable) 500mg & 20mg MR Tab	XED	N/A	N/A	YES	NO	YES
02361701	NAPROXEN & ESOMEPRAZOLE MAGNESIUM	Vimovo (Off-Formulary Interchangeable) 375mg & 20mg MR Tab	XED	N/A	N/A	YES	NO	YES
09857285	OMEPRAZOLE	Apo-Omeprazole Cap 20mg	APX	0.2287	0.2287	YES	YES	NO
02245058	OMEPRAZOLE	Apo-Omeprazole Cap 20mg	APX	0.2287	0.2287	YES	YES	NO
02420198	OMEPRAZOLE	Jamp-Omeprazole DR Tab 20mg	JPC	0.2287	0.2287	YES	YES	NO
00846503	OMEPRAZOLE	Losec DR Cap (Not a Benefit) 20mg	CHE	N/A	N/A	YES	NO	NO
02190915	OMEPRAZOLE	Losec DR Tab (Not a Benefit) 20mg	CHE	N/A	N/A	YES	NO	NO
02230737	OMEPRAZOLE	Losec DR Tab (Off-Formulary Interchangeable) 10mg	AZC	N/A	N/A	YES	NO	NO
02439549	OMEPRAZOLE	Nat-Omeprazole DR Tab 20mg	NAT	0.2287	0.2287	YES	YES	NO
02348691	OMEPRAZOLE	Omeprazole DR Cap 20mg	SAI	0.2287	0.2287	YES	YES	NO
02416549	OMEPRAZOLE	Omeprazole Magnesium Delayed Release Tab 20mg	ACH	0.2287	0.2287	YES	YES	NO
02504294	OMEPRAZOLE	Omeprazole Magnesium Delayed Release Tab 20mg	SAI	0.2287	0.2287	YES	YES	NO
02411857	OMEPRAZOLE	Omeprazole-20 DR Cap 20mg	SIV	0.2287	0.2287	YES	YES	NO
09857342	OMEPRAZOLE	PMS-Omeprazole DR Cap 20mg	PMS	0.2287	0.2287	YES	YES	NO
02403617	OMEPRAZOLE	Ran-Omeprazole DR Cap 20mg	RAN	0.2287	0.2287	YES	YES	NO
02260867	OMEPRAZOLE	Ratio-Omeprazole DR Tab 20mg	RPH	0.2287	0.2287	YES	YES	NO
02296446	OMEPRAZOLE	Sandoz Omeprazole DR Cap 20mg	SDZ	0.2287	0.2287	YES	YES	NO
09857314	OMEPRAZOLE	Sandoz Omeprazole DR Cap 20mg	SDZ	0.2287	0.2287	YES	YES	NO
02295415	OMEPRAZOLE	Teva-Omeprazole DR Tab 20mg	TEV	0.2287	0.2287	YES	YES	NO
02295407	OMEPRAZOLE	Teva-Omeprazole DR Tab (Off-Formulary Interchangeable) 10mg	TEV	0.8167	N/A	YES	NO	NO
02119579	OMEPRAZOLE	Losec (Off-Formulary Interchangeable) 10mg DR Cap	AZC	N/A	N/A	YES	NO	NO
02296438	OMEPRAZOLE	Sandoz Omeprazole (Off-Formulary Interchangeable) 10mg DR Cap	SDZ	0.9470	N/A	YES	NO	NO
09857464	OMEPRAZOLE MAGNESIUM	Jamp-Omeprazole DR Tab 20mg	JPC	0.2287	0.2287	YES	YES	NO
09857195	OMEPRAZOLE MAGNESIUM	Losec DR Tab (Not a Benefit) 20mg	CHE	N/A	N/A	YES	NO	NO
09857536	OMEPRAZOLE MAGNESIUM	Nat-Omeprazole DR Tab 20mg	NAT	0.2287	0.2287	YES	YES	NO
09857500	OMEPRAZOLE MAGNESIUM	Omeprazole Magnesium Delayed Release Tab 20mg	ACH	0.2287	0.2287	YES	YES	NO
09857656	OMEPRAZOLE MAGNESIUM	Omeprazole Magnesium Delayed Release Tab 20mg	SAI	0.2287	0.2287	YES	YES	NO
09857640	OMEPRAZOLE MAGNESIUM	Omeprazole-20 DR Cap 20mg	SIV	0.2287	0.2287	YES	YES	NO
09857267	OMEPRAZOLE MAGNESIUM	Ratio-Omeprazole DR Tab 20mg	RPH	0.2287	0.2287	YES	YES	NO

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