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Products found: 43New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02423863ESOMEPRAZOLEAct Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mgACV1.8690N/AYESNONO
02339102ESOMEPRAZOLEApo-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mgAPX1.8690N/AYESNONO
02383047ESOMEPRAZOLEMylan-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mgMYL1.8690N/AYESNONO
02244522ESOMEPRAZOLENexium DR Tab (Off-Formulary Interchangeable) 40mgAZCN/AN/AYESNONO
02379171ESOMEPRAZOLEPMS-Esomeprazole DR Cap (Off-Formulary Interchangeable) 40mgPMS1.8690N/AYESNONO
02423987ESOMEPRAZOLERan-Esomeprazole DR Tab (Off-Formulary Interchangeable) 40mgRAN1.8690N/AYESNONO
02460939ESOMEPRAZOLESandoz Esomeprazole (Off-Formulary Interchangeable) 40mgSDZ1.8690N/AYESNONO
02423855ESOMEPRAZOLEAct Esomeprazole (Off-Formulary Interchangeable) 20mg DR TabACV1.8690N/AYESNONO
02339099ESOMEPRAZOLEApo-Esomeprazole (Off-Formulary Interchangeable) 20mg DR TabAPX1.8690N/AYESNONO
02383039ESOMEPRAZOLEMylan-Esomeprazole (Off-Formulary Interchangeable) 20mg DR TabMYL1.8690N/AYESNONO
02244521ESOMEPRAZOLENexium (Off-Formulary Interchangeable) 20mg DR TabAZCN/AN/AYESNONO
02423979ESOMEPRAZOLERan-Esomeprazole (Off-Formulary Interchangeable) 20mg DR TabRAN1.8690N/AYESNONO
02460920ESOMEPRAZOLESandoz Esomeprazole (Off-Formulary Interchangeable) 20mg DR TabSDZ1.8690N/AYESNONO
02443449NAPROXEN & ESOMEPRAZOLE MAGNESIUMMylan-Naproxen & Esomeprazole MR (Off-Formulary Interchangeable) 500mg & 20mg MR TabMYL0.9274N/AYESNOYES
02458608NAPROXEN & ESOMEPRAZOLE MAGNESIUMMylan-Naproxen & Esomeprazole MR (Off-Formulary Interchangeable) 375mg & 20mg MR TabMYL0.9308N/AYESNOYES
02361728NAPROXEN & ESOMEPRAZOLE MAGNESIUMVimovo (Off-Formulary Interchangeable) 500mg & 20mg MR TabAZCN/AN/AYESNOYES
02361701NAPROXEN & ESOMEPRAZOLE MAGNESIUMVimovo (Off-Formulary Interchangeable) 375mg & 20mg MR TabAZCN/AN/AYESNOYES
09857285OMEPRAZOLEApo-Omeprazole Cap 20mgAPX0.22870.2287YESYESNO
02245058OMEPRAZOLEApo-Omeprazole Cap 20mgAPX0.22870.2287YESYESNO
02420198OMEPRAZOLEJamp-Omeprazole DR Tab 20mgJPC0.22870.2287YESYESNO
00846503OMEPRAZOLELosec DR Cap (Not a Benefit) 20mgASTN/AN/AYESNONO
02190915OMEPRAZOLELosec DR Tab 20mgAZC2.38200.2287YESYESNO
02230737OMEPRAZOLELosec DR Tab (Off-Formulary Interchangeable) 10mgAZCN/AN/AYESNONO
02439549OMEPRAZOLENat-Omeprazole DR Tab 20mgNAT0.22870.2287YESYESNO
02416549OMEPRAZOLEOmeprazole Magnesium Delayed Release Tab 20mgACH0.22870.2287YESYESNO
09857342OMEPRAZOLEPMS-Omeprazole DR Cap 20mgPMS0.22870.2287YESYESNO
02320851OMEPRAZOLEPMS-Omeprazole DR Cap 20mgPMS0.22870.2287YESYESNO
02310260OMEPRAZOLEPMS-Omeprazole DR Tab 20mgPMS0.22870.2287YESYESNO
02403617OMEPRAZOLERan-Omeprazole DR Cap 20mgRAN0.22870.2287YESYESNO
02260867OMEPRAZOLERatio-Omeprazole DR Tab 20mgRPH0.22870.2287YESYESNO
02296446OMEPRAZOLESandoz Omeprazole DR Cap 20mgSDZ0.22870.2287YESYESNO
09857314OMEPRAZOLESandoz Omeprazole DR Cap 20mgSDZ0.22870.2287YESYESNO
02295415OMEPRAZOLETeva-Omeprazole DR Tab 20mgTEV0.22870.2287YESYESNO
02295407OMEPRAZOLETeva-Omeprazole DR Tab (Off-Formulary Interchangeable) 10mgTEV0.8167N/AYESNONO
02432404OMEPRAZOLEVan-Omeprazole DR Tab 20mgVAN0.22870.2287YESYESNO
02119579OMEPRAZOLELosec (Off-Formulary Interchangeable) 10mg DR CapAZCN/AN/AYESNONO
02296438OMEPRAZOLESandoz Omeprazole (Off-Formulary Interchangeable) 10mg DR CapSDZ0.8167N/AYESNONO
09857464OMEPRAZOLE MAGNESIUMJamp-Omeprazole DR Tab 20mgJPC0.22870.2287YESYESNO
09857195OMEPRAZOLE MAGNESIUMLosec DR Tab 20mgAZC2.38200.2287YESYESNO
09857536OMEPRAZOLE MAGNESIUMNat-Omeprazole DR Tab 20mgNAT0.22870.2287YESYESNO
09857500OMEPRAZOLE MAGNESIUMOmeprazole Magnesium Delayed Release Tab 20mgACH0.22870.2287YESYESNO
09857267OMEPRAZOLE MAGNESIUMRatio-Omeprazole DR Tab 20mgRPH0.22870.2287YESYESNO
09857530OMEPRAZOLE MAGNESIUMVan-Omeprazole DR Tab 20mgVAN0.22870.2287YESYESNO