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Products found: 40

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DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Interchangeable	Limited Use	Therapeutic Notes
00886157	ACYCLOVIR	Zovirax 200mg/5mL Oral Susp	GLW	0.3142	0.3142	NO	NO	NO
02207621	ACYCLOVIR	Apo-Acyclovir 200mg Tab	APX	0.3511	0.3511	YES	NO	NO
02207656	ACYCLOVIR	Apo-Acyclovir 800mg Tab	APX	1.2673	1.2673	YES	NO	NO
02207648	ACYCLOVIR	Apo-Acyclovir 400mg Tab	APX	0.8890	0.8890	YES	NO	NO
02524724	ACYCLOVIR	Mint-Acyclovir 800mg Tab	MIN	1.2673	1.2673	YES	NO	NO
02524708	ACYCLOVIR	Mint-Acyclovir 200mg Tab	MIN	0.3511	0.3511	YES	NO	NO
02524716	ACYCLOVIR	Mint-Acyclovir 400mg Tab	MIN	0.8890	0.8890	YES	NO	NO
02242464	ACYCLOVIR	Mylan-Acyclovir 800mg Tab	MYL	1.2673	1.2673	YES	NO	NO
02242463	ACYCLOVIR	Mylan-Acyclovir 400mg Tab	MYL	0.8890	0.8890	YES	NO	NO
02242784	ACYCLOVIR	Mylan-Acyclovir 200mg Tab	MYL	0.3511	0.3511	YES	NO	NO
02285959	ACYCLOVIR	Teva-Acyclovir 200mg Tab	TEV	0.3511	0.3511	YES	NO	NO
02285975	ACYCLOVIR	Teva-Acyclovir 800mg Tab	TEV	1.2673	1.2673	YES	NO	NO
02285967	ACYCLOVIR	Teva-Acyclovir 400mg Tab	TEV	0.8890	0.8890	YES	NO	NO
01911635	ACYCLOVIR	Zovirax 800mg Tab	GSK	5.0692	1.2673	YES	NO	NO
00634506	ACYCLOVIR	Zovirax (Not a Benefit) 200mg Tab	GSK	N/A	N/A	YES	NO	NO
01911627	ACYCLOVIR	Zovirax (Not a Benefit) 400mg Tab	GSK	N/A	N/A	YES	NO	NO
02477130	ACYCLOVIR	Apo-Acyclovir Ointment (Off-Formulary Interchangeable) 5% Top Oint	APX	12.3114	N/A	YES	NO	NO
02522306	ACYCLOVIR	Taro-Acyclovir (Off-Formulary Interchangeable) 5% Top Oint	TAR	12.3114	N/A	YES	NO	NO
00569771	ACYCLOVIR	Zovirax (Off-Formulary Interchangeable) 5% Top Oint	VAL	N/A	N/A	YES	NO	NO
02354705	VALACYCLOVIR	Apo-Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	APX	5.8537	N/A	YES	NO	NO
02295822	VALACYCLOVIR	Apo-Valacyclovir 500mg Tab	APX	0.6198	0.6198	YES	NO	NO
02405059	VALACYCLOVIR	Auro-Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	AUR	5.8537	N/A	YES	NO	NO
02405040	VALACYCLOVIR	Auro-Valacyclovir 500mg Tab	AUR	0.6198	0.6198	YES	NO	NO
02331748	VALACYCLOVIR	Co Valacyclovir 500mg Tab	COB	0.6198	0.6198	YES	NO	NO
02558858	VALACYCLOVIR	Jamp Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	JPC	5.8537	N/A	YES	NO	NO
02440598	VALACYCLOVIR	Jamp Valacyclovir 500mg Tab	JPC	0.6198	0.6198	YES	NO	NO
02441454	VALACYCLOVIR	Jamp-Valacyclovir 500mg Tab	JPC	0.6198	0.6198	YES	NO	NO
02351579	VALACYCLOVIR	Mylan-Valacyclovir 500mg Tab	MYL	0.6198	0.6198	YES	NO	NO
02351560	VALACYCLOVIR	Mylan-Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	MYL	5.8537	N/A	YES	NO	NO
02298457	VALACYCLOVIR	PMS-Valacyclovir 500mg Tab	PMS	0.6198	0.6198	YES	NO	NO
02381230	VALACYCLOVIR	PMS-Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	PMS	5.8537	N/A	YES	NO	NO
02316447	VALACYCLOVIR	Riva-Valacyclovir 500mg Tab	RIA	0.6198	0.6198	YES	NO	NO
02347091	VALACYCLOVIR	Sandoz Valacyclovir 500mg Tab	SDZ	0.6198	0.6198	YES	NO	NO
02357534	VALACYCLOVIR	Teva-Valacyclovir 500mg Tab	TEV	0.6198	0.6198	YES	NO	NO
02442000	VALACYCLOVIR	Valacyclovir 500mg Tab	SIV	0.6198	0.6198	YES	NO	NO
02553511	VALACYCLOVIR	Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	SIV	5.8537	N/A	YES	NO	NO
02519585	VALACYCLOVIR	Valacyclovir (Off-Formulary Interchangeable) 1000mg Tab	SAI	5.8537	N/A	YES	NO	NO
02454645	VALACYCLOVIR	Valacyclovir 500mg Tab	SAI	0.6198	0.6198	YES	NO	NO
02246559	VALACYCLOVIR	Valtrex (Off-Formulary Interchangeable) 1000mg Tab	GSK	N/A	N/A	YES	NO	NO
02219492	VALACYCLOVIR	Valtrex 500mg Tab	GSK	4.5647	0.6198	YES	NO	NO

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