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Products found: 44

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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
02377616	MONTELUKAST SODIUM	Apo-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	APX	1.2075	1.2075	YES	NO	NO
02377608	MONTELUKAST SODIUM	Apo-Montelukast 4mg Chew Tab	APX	0.2758	0.2758	YES	YES	NO
02422867	MONTELUKAST SODIUM	Auro-Montelukast Chewable Tablet 4mg Chew Tab	AUR	0.2758	0.2758	YES	YES	NO
02422875	MONTELUKAST SODIUM	Auro-Montelukast Chewable Tablet (Off-Formulary Interchangeable) 5mg Chew Tab	AUR	1.2077	1.2077	YES	NO	NO
02514885	MONTELUKAST SODIUM	Jamp Montelukast Chewable Tablets (Off-Formulary Interchangeable) 5mg Chew Tab	JPC	1.2075	1.2075	YES	NO	NO
02514877	MONTELUKAST SODIUM	Jamp Montelukast Chewable Tablets 4mg Chew Tab	JPC	0.2758	0.2758	YES	YES	NO
02442361	MONTELUKAST SODIUM	Jamp-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	JPC	1.2075	1.2075	YES	NO	NO
02442353	MONTELUKAST SODIUM	Jamp-Montelukast 4mg Chew Tab	JPC	0.2758	0.2758	YES	YES	NO
02399873	MONTELUKAST SODIUM	Mar-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	MAR	1.2075	1.2075	YES	NO	NO
02399865	MONTELUKAST SODIUM	Mar-Montelukast 4mg Chew Tab	MAR	0.2758	0.2758	YES	YES	NO
02408635	MONTELUKAST SODIUM	Mint-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	MIN	1.2075	1.2075	YES	NO	NO
02408627	MONTELUKAST SODIUM	Mint-Montelukast 4mg Chew Tab	MIN	0.2758	0.2758	YES	YES	NO
02382458	MONTELUKAST SODIUM	Montelukast 4mg Chew Tab	SIV	0.2758	0.2758	YES	YES	NO
02382466	MONTELUKAST SODIUM	Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	SIV	1.2075	1.2075	YES	NO	NO
02379325	MONTELUKAST SODIUM	Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	SAI	1.2075	1.2075	YES	NO	NO
02522101	MONTELUKAST SODIUM	Nat-Montelukast 4mg Chew Tab	NAT	0.2758	0.2758	YES	YES	NO
02522128	MONTELUKAST SODIUM	Nat-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	NAT	1.2077	1.2077	YES	NO	NO
02354985	MONTELUKAST SODIUM	PMS-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	PMS	1.2075	1.2075	YES	NO	NO
02354977	MONTELUKAST SODIUM	PMS-Montelukast 4mg Chew Tab	PMS	0.2758	0.2758	YES	YES	NO
02402807	MONTELUKAST SODIUM	Ran-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	RAN	1.2075	1.2075	YES	NO	NO
02330393	MONTELUKAST SODIUM	Sandoz Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	SDZ	1.2075	1.2075	YES	NO	NO
02330385	MONTELUKAST SODIUM	Sandoz Montelukast 4mg Chew Tab	SDZ	0.2758	0.2758	YES	YES	NO
02238216	MONTELUKAST SODIUM	Singulair (Off-Formulary Interchangeable) 5mg Chew Tab	OCI	N/A	N/A	YES	NO	NO
02243602	MONTELUKAST SODIUM	Singulair 4mg Chew Tab	OCI	1.8503	0.2758	YES	YES	NO
02355507	MONTELUKAST SODIUM	Teva-Montelukast 4mg Chew Tab	TEV	0.2758	0.2758	YES	YES	NO
02355515	MONTELUKAST SODIUM	Teva-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	TEV	1.2077	1.2077	YES	NO	NO
02358611	MONTELUKAST SODIUM	Sandoz Montelukast (Off-Formulary Interchangeable) 4mg Gran Pk	SDZ	1.3440	N/A	YES	NO	NO
02247997	MONTELUKAST SODIUM	Singulair (Off-Formulary Interchangeable) 4mg Gran Pk	OCI	N/A	N/A	YES	NO	NO
02379236	MONTELUKAST SODIUM	Ach-Montelukast (Off-Formulary Interchangeable) 10mg Tab	ACH	1.7735	1.7735	YES	NO	NO
02374609	MONTELUKAST SODIUM	Apo-Montelukast (Off-Formulary Interchangeable) 10mg Tab	APX	1.7735	1.7735	YES	NO	NO
02401274	MONTELUKAST SODIUM	Auro-Montelukast (Off-Formulary Interchangeable) 10mg Tab	AUR	1.7735	1.7735	YES	NO	NO
02391422	MONTELUKAST SODIUM	Jamp-Montelukast (Off-Formulary Interchangeable) 10mg Tab	JPC	1.7735	1.7735	YES	NO	NO
02488183	MONTELUKAST SODIUM	M-Montelukast (Off-Formulary Interchangeable) 10mg Tab	MAT	1.7735	1.7735	YES	NO	NO
02399997	MONTELUKAST SODIUM	Mar-Montelukast (Off-Formulary Interchangeable) 10mg Tab	MAR	1.7735	1.7735	YES	NO	NO
02408643	MONTELUKAST SODIUM	Mint-Montelukast (Off-Formulary Interchangeable) 10mg Tab	MIN	1.7735	1.7735	YES	NO	NO
02382474	MONTELUKAST SODIUM	Montelukast (Off-Formulary Interchangeable) 10mg Tab	SIV	1.7735	1.7735	YES	NO	NO
02379333	MONTELUKAST SODIUM	Montelukast (Off-Formulary Interchangeable) 10mg Tab	SAI	1.7735	1.7735	YES	NO	NO
02489821	MONTELUKAST SODIUM	NRA-Montelukast (Off-Formulary Interchangeable) 10mg Tab	NRA	1.7735	1.7735	YES	NO	NO
02522136	MONTELUKAST SODIUM	Nat-Montelukast (Off-Formulary Interchangeable) 10mg Tab	NAT	1.7737	1.7737	YES	NO	NO
02373947	MONTELUKAST SODIUM	PMS-Montelukast FC (Off-Formulary Interchangeable) 10mg Tab	PMS	1.7735	1.7735	YES	NO	NO
02389517	MONTELUKAST SODIUM	Ran-Montelukast (Off-Formulary Interchangeable) 10mg Tab	RAN	1.7735	1.7735	YES	NO	NO
02328593	MONTELUKAST SODIUM	Sandoz Montelukast (Off-Formulary Interchangeable) 10mg Tab	SDZ	1.7735	1.7735	YES	NO	NO
02238217	MONTELUKAST SODIUM	Singulair (Off-Formulary Interchangeable) 10mg Tab	OCI	N/A	N/A	YES	NO	NO
02355523	MONTELUKAST SODIUM	Teva-Montelukast (Off-Formulary Interchangeable) 10mg Tab	TEV	1.7737	1.7737	YES	NO	NO

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