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Products found: 15

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
02568020	SEMAGLUTIDE	Apo-Semaglutide Injection 0.68mg/mL Inj Sol - Pref Pen 3mL Pk	APX	78.1410	78.1410	YES	YES	NO
02540258	SEMAGLUTIDE	Ozempic 0.68mg/mL Inj Sol - Pref Pen 3mL Pk	NOO	227.9400	78.1410	YES	YES	NO
02569582	SEMAGLUTIDE	Sevmia (Off-Formulary Interchangeable) 4mg/3mL Inj Sol-3mL Pref Pen	APX	325.0480	N/A	YES	NO	NO
02528525	SEMAGLUTIDE	Wegovy (Off-Formulary Interchangeable) 4mg/3mL Inj Sol-3mL Pref Pen	NOO	N/A	N/A	YES	NO	NO
02471477	SEMAGLUTIDE	Ozempic 1.34mg/mL Inj Sol-Pref Pen 1.5mL Pk	NOO	227.9400	78.1410	YES	YES	NO
02567806	SEMAGLUTIDE	Semaglutide Injection 1.34mg/mL Inj Sol-Pref Pen 1.5mL Pk	DRR	78.1410	78.1410	YES	YES	NO
02568012	SEMAGLUTIDE	Apo-Semaglutide Injection 1.34mg/mL Inj Sol-Pref Pen 3mL Pk	APX	78.1410	78.1410	YES	YES	NO
02471469	SEMAGLUTIDE	Ozempic 1.34mg/mL Inj Sol-Pref Pen 3mL Pk	NOO	227.9400	78.1410	YES	YES	NO
02567814	SEMAGLUTIDE	Semaglutide Injection 1.34mg/mL Inj Sol-Pref Pen 3mL Pk	DRR	78.1410	78.1410	YES	YES	NO
02551012	SEMAGLUTIDE	Rybelsus 1.5mg Tab	NOO	7.5303	7.5303	NO	YES	NO
02497581	SEMAGLUTIDE	Rybelsus 3mg Tab	NOO	7.5303	7.5303	NO	YES	NO
02551020	SEMAGLUTIDE	Rybelsus 4mg Tab	NOO	7.5303	7.5303	NO	YES	NO
02497603	SEMAGLUTIDE	Rybelsus 7mg Tab	NOO	7.5303	7.5303	NO	YES	NO
02551039	SEMAGLUTIDE	Rybelsus 9mg Tab	NOO	7.5303	7.5303	NO	YES	NO
02497611	SEMAGLUTIDE	Rybelsus 14mg Tab	NOO	7.5303	7.5303	NO	YES	NO