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Products found: 25New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02408570PANTOPRAZOLE MAGNESIUMMylan-Pantoprazole T 40mg Ent Coated TabMYL0.18750.1875YESNONO
02441853PANTOPRAZOLE MAGNESIUMPantoprazole Magnesium 40mg Ent Coated TabALH0.18750.1875YESNONO
02267233PANTOPRAZOLE MAGNESIUMTecta 40mg Ent Coated TabNYC0.75000.1875YESNONO
02440628PANTOPRAZOLE MAGNESIUMTeva-Pantoprazole Magnesium 40mg Ent Coated TabTEV0.18750.1875YESNONO
02292920PANTOPRAZOLE SODIUMApo-Pantoprazole 40mg Ent TabAPX0.20160.2016YESYESNO
02292912PANTOPRAZOLE SODIUMApo-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent TabAPX1.2750N/AYESNONO
02415208PANTOPRAZOLE SODIUMAuro-Pantoprazole 40mg Ent TabAUR0.20160.2016YESYESNO
02300486PANTOPRAZOLE SODIUMCo Pantoprazole 40mg Ent TabCOB0.20160.2016YESYESNO
02408414PANTOPRAZOLE SODIUMJamp-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent TabJPC1.2750N/AYESNONO
02357054PANTOPRAZOLE SODIUMJamp-Pantoprazole 40mg Ent TabJPC0.20160.2016YESYESNO
02467372PANTOPRAZOLE SODIUMM-Pantoprazole 40mg Ent TabMAT0.20160.2016YESYESNO
02416557PANTOPRAZOLE SODIUMMar-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent TabMAR1.2750N/AYESNONO
02416565PANTOPRAZOLE SODIUMMar-Pantoprazole 40mg Ent TabMAR0.20160.2016YESYESNO
02417448PANTOPRAZOLE SODIUMMint-Pantoprazole 40mg Ent TabMIN0.20160.2016YESYESNO
02307871PANTOPRAZOLE SODIUMPMS-Pantoprazole 40mg Ent TabPMS0.20160.2016YESYESNO
02241804PANTOPRAZOLE SODIUMPantoloc (Off-Formulary Interchangeable) 20mg Ent TabNYCN/AN/AYESNONO
02229453PANTOPRAZOLE SODIUMPantoloc 40mg Ent TabNYC2.08030.2016YESYESNO
02437945PANTOPRAZOLE SODIUMPantoprazole 40mg Ent TabPMS0.20160.2016YESYESNO
02305038PANTOPRAZOLE SODIUMRan-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent TabRAN1.2750N/AYESNONO
02305046PANTOPRAZOLE SODIUMRan-Pantoprazole 40mg Ent TabRAN0.20160.2016YESYESNO
02301075PANTOPRAZOLE SODIUMSandoz Pantoprazole (Off-Formulary Interchangeable) 20mg Ent TabSDZ1.2750N/AYESNONO
02301083PANTOPRAZOLE SODIUMSandoz Pantoprazole 40mg Ent TabSDZ0.20160.2016YESYESNO
02285479PANTOPRAZOLE SODIUMTeva-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent TabTEV1.2750N/AYESNONO
02285487PANTOPRAZOLE SODIUMTeva-Pantoprazole 40mg Ent TabTEV0.20160.2016YESYESNO
02428164PANTOPRAZOLE SODIUMVan-Pantoprazole 40mg Ent TabVAN0.20160.2016YESYESNO