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Products found: 33

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DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Inter- change- able	Limited Use	Thera- peutic Notes
02408570	PANTOPRAZOLE MAGNESIUM	Mylan-Pantoprazole T 40mg Ent Coated Tab	MYL	0.1875	0.1875	YES	NO	NO
02441853	PANTOPRAZOLE MAGNESIUM	Pantoprazole Magnesium 40mg Ent Coated Tab	ALH	0.1875	0.1875	YES	NO	NO
02466147	PANTOPRAZOLE MAGNESIUM	Pantoprazole T 40mg Ent Coated Tab	SAI	0.1875	0.1875	YES	NO	NO
02519534	PANTOPRAZOLE MAGNESIUM	Pantoprazole T 40mg Ent Coated Tab	SIV	0.1875	0.1875	YES	NO	NO
02267233	PANTOPRAZOLE MAGNESIUM	Tecta 40mg Ent Coated Tab	NYC	0.8260	0.1875	YES	NO	NO
02440628	PANTOPRAZOLE MAGNESIUM	Teva-Pantoprazole Magnesium 40mg Ent Coated Tab	TEV	0.1875	0.1875	YES	NO	NO
02481588	PANTOPRAZOLE SODIUM	AG-Pantoprazole Sodium 40mg Ent Tab	ANG	0.2016	0.2016	YES	YES	NO
02292912	PANTOPRAZOLE SODIUM	Apo-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	APX	1.2750	N/A	YES	NO	NO
02292920	PANTOPRAZOLE SODIUM	Apo-Pantoprazole 40mg Ent Tab	APX	0.2016	0.2016	YES	YES	NO
02415208	PANTOPRAZOLE SODIUM	Auro-Pantoprazole 40mg Ent Tab	AUR	0.2016	0.2016	YES	YES	NO
02300486	PANTOPRAZOLE SODIUM	Co Pantoprazole 40mg Ent Tab	COB	0.2016	0.2016	YES	YES	NO
02392615	PANTOPRAZOLE SODIUM	Jamp Pantoprazole Sodium (Off-Formulary Interchangeable) 20mg Ent Tab	JPC	1.2750	N/A	YES	NO	NO
02392623	PANTOPRAZOLE SODIUM	Jamp Pantoprazole Sodium 40mg Ent Tab	JPC	0.2016	0.2016	YES	YES	NO
02408414	PANTOPRAZOLE SODIUM	Jamp-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	JPC	1.2750	N/A	YES	NO	NO
02357054	PANTOPRAZOLE SODIUM	Jamp-Pantoprazole 40mg Ent Tab	JPC	0.2016	0.2016	YES	YES	NO
02467372	PANTOPRAZOLE SODIUM	M-Pantoprazole 40mg Ent Tab	MAT	0.2016	0.2016	YES	YES	NO
02416557	PANTOPRAZOLE SODIUM	Mar-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	MAR	1.2750	N/A	YES	NO	NO
02416565	PANTOPRAZOLE SODIUM	Mar-Pantoprazole 40mg Ent Tab	MAR	0.2016	0.2016	YES	YES	NO
02417448	PANTOPRAZOLE SODIUM	Mint-Pantoprazole 40mg Ent Tab	MIN	0.2016	0.2016	YES	YES	NO
02471825	PANTOPRAZOLE SODIUM	NRA-Pantoprazole 40mg Ent Tab	NRA	0.2016	0.2016	YES	YES	NO
02307871	PANTOPRAZOLE SODIUM	PMS-Pantoprazole 40mg Ent Tab	PMS	0.2016	0.2016	YES	YES	NO
02241804	PANTOPRAZOLE SODIUM	Pantoloc (Off-Formulary Interchangeable) 20mg Ent Tab	NYC	N/A	N/A	YES	NO	NO
02229453	PANTOPRAZOLE SODIUM	Pantoloc 40mg Ent Tab	NYC	2.0803	0.2016	YES	YES	NO
02536137	PANTOPRAZOLE SODIUM	Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	SAI	1.2750	N/A	YES	NO	NO
02370808	PANTOPRAZOLE SODIUM	Pantoprazole 40mg Ent Tab	SAI	0.2016	0.2016	YES	YES	NO
02428172	PANTOPRAZOLE SODIUM	Pantoprazole-20 (Off-Formulary Interchangeable) 20mg Ent Tab	SIV	1.2750	N/A	YES	NO	NO
02428180	PANTOPRAZOLE SODIUM	Pantoprazole-40 40mg Ent Tab	SIV	0.2016	0.2016	YES	YES	NO
02305038	PANTOPRAZOLE SODIUM	Ran-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	RAN	1.2750	N/A	YES	NO	NO
02305046	PANTOPRAZOLE SODIUM	Ran-Pantoprazole 40mg Ent Tab	RAN	0.2016	0.2016	YES	YES	NO
02301075	PANTOPRAZOLE SODIUM	Sandoz Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	SDZ	1.2750	N/A	YES	NO	NO
02301083	PANTOPRAZOLE SODIUM	Sandoz Pantoprazole 40mg Ent Tab	SDZ	0.2016	0.2016	YES	YES	NO
02285487	PANTOPRAZOLE SODIUM	Teva-Pantoprazole 40mg Ent Tab	TEV	0.2016	0.2016	YES	YES	NO
02285479	PANTOPRAZOLE SODIUM	Teva-Pantoprazole (Off-Formulary Interchangeable) 20mg Ent Tab	TEV	1.2750	N/A	YES	NO	NO

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