DIN/NPN/ PIN | Generic Name | Product Name, Strength & Dosage Form | Unit Price, Unit of Issue | Manufacturer | LCA Price | MAC Price | Interchangeable Products | Coverage Status | |
---|---|---|---|---|---|---|---|---|---|
02147602 | ACEBUTOLOL HCL | APO-ACEBUTOLOL 100 MG ORAL TABLET |
0.1871 TAB |
APX | 0.1871 | N/A | YES | REGULAR BENEFIT | |
02204517 | ACEBUTOLOL HCL | TEVA-ACEBUTOLOL 100 MG ORAL TABLET |
0.1871 TAB |
TEV | 0.1871 | N/A | YES | REGULAR BENEFIT | |
02147610 | ACEBUTOLOL HCL | APO-ACEBUTOLOL 200 MG ORAL TABLET |
0.2808 TAB |
APX | 0.2808 | N/A | YES | REGULAR BENEFIT | |
02204525 | ACEBUTOLOL HCL | TEVA-ACEBUTOLOL 200 MG ORAL TABLET |
0.2808 TAB |
TEV | 0.2808 | N/A | YES | REGULAR BENEFIT | |
02147629 | ACEBUTOLOL HCL | APO-ACEBUTOLOL 400 MG ORAL TABLET |
0.5348 TAB |
APX | 0.5348 | N/A | YES | REGULAR BENEFIT | |
02204533 | ACEBUTOLOL HCL | TEVA-ACEBUTOLOL 400 MG ORAL TABLET |
0.5348 TAB |
TEV | 0.5348 | N/A | YES | REGULAR BENEFIT | |
02369192 | ATENOLOL | AG-ATENOLOL 100 MG ORAL TABLET |
0.1543 TAB |
AGP | 0.1543 | N/A | YES | REGULAR BENEFIT | |
00773697 | ATENOLOL | APO-ATENOL 100 MG ORAL TABLET |
0.1543 TAB |
APX | 0.1543 | N/A | YES | REGULAR BENEFIT | |
02238318 | ATENOLOL | ATENOLOL 100 MG ORAL TABLET |
0.1543 TAB |
SIV | 0.1543 | N/A | YES | REGULAR BENEFIT | |
02466473 | ATENOLOL | ATENOLOL 100 MG ORAL TABLET |
0.1543 TAB |
SNS | 0.1543 | N/A | YES | REGULAR BENEFIT | |
02367572 | ATENOLOL | JAMP-ATENOLOL 100 MG ORAL TABLET |
0.1543 TAB |
JPC | 0.1543 | N/A | YES | REGULAR BENEFIT | |
02371995 | ATENOLOL | MAR-ATENOLOL 100 MG ORAL TABLET |
0.1543 TAB |
MAR | 0.1543 | N/A | YES | REGULAR BENEFIT | |
02368048 | ATENOLOL | MINT-ATENOL 100 MG ORAL TABLET |
0.1543 TAB |
MPI | 0.1543 | N/A | YES | REGULAR BENEFIT | |
02237601 | ATENOLOL | PMS-ATENOLOL 100 MG ORAL TABLET |
0.1543 TAB |
PMS | 0.1543 | N/A | YES | REGULAR BENEFIT | |
02267993 | ATENOLOL | RAN-ATENOLOL 100 MG ORAL TABLET |
0.1543 TAB |
RAN | 0.1543 | N/A | YES | REGULAR BENEFIT | |
02039540 | ATENOLOL | TENORMIN 100 MG ORAL TABLET |
1.0461 TAB |
SLP | 0.1543 | N/A | YES | REGULAR BENEFIT | |
02171805 | ATENOLOL | TEVA-ATENOLOL 100 MG ORAL TABLET |
0.1543 TAB |
TEV | 0.1543 | N/A | YES | REGULAR BENEFIT | |
02541564 | ATENOLOL | ATENOLOL 25 MG ORAL TABLET |
0.0441 TAB |
SIV | 0.0441 | N/A | YES | REGULAR BENEFIT | |
02367556 | ATENOLOL | JAMP-ATENOLOL 25 MG ORAL TABLET |
0.0441 TAB |
JPC | 0.0441 | N/A | YES | REGULAR BENEFIT | |
02371979 | ATENOLOL | MAR-ATENOLOL 25 MG ORAL TABLET |
0.0441 TAB |
MAR | 0.0441 | N/A | YES | REGULAR BENEFIT | |
02368013 | ATENOLOL | MINT-ATENOL 25 MG ORAL TABLET |
0.0441 TAB |
MPI | 0.0441 | N/A | YES | REGULAR BENEFIT | |
02246581 | ATENOLOL | PMS-ATENOLOL 25 MG ORAL TABLET |
0.0441 TAB |
PMS | 0.0441 | N/A | YES | REGULAR BENEFIT | |
02373963 | ATENOLOL | RAN-ATENOLOL 25 MG ORAL TABLET |
0.0441 TAB |
RAN | 0.0441 | N/A | YES | REGULAR BENEFIT | |
02266660 | ATENOLOL | TEVA-ATENOLOL 25 MG ORAL TABLET |
0.0441 TAB |
TEV | 0.0441 | N/A | YES | REGULAR BENEFIT | |
02369184 | ATENOLOL | AG-ATENOLOL 50 MG ORAL TABLET |
0.0938 TAB |
AGP | 0.0938 | N/A | YES | REGULAR BENEFIT | |
00773689 | ATENOLOL | APO-ATENOL 50 MG ORAL TABLET |
0.0938 TAB |
APX | 0.0938 | N/A | YES | REGULAR BENEFIT | |
02238316 | ATENOLOL | ATENOLOL 50 MG ORAL TABLET |
0.0938 TAB |
SIV | 0.0938 | N/A | YES | REGULAR BENEFIT | |
02466465 | ATENOLOL | ATENOLOL 50 MG ORAL TABLET |
0.0938 TAB |
SNS | 0.0938 | N/A | YES | REGULAR BENEFIT | |
02367564 | ATENOLOL | JAMP-ATENOLOL 50 MG ORAL TABLET |
0.0938 TAB |
JPC | 0.0938 | N/A | YES | REGULAR BENEFIT | |
02371987 | ATENOLOL | MAR-ATENOLOL 50 MG ORAL TABLET |
0.0938 TAB |
MAR | 0.0938 | N/A | YES | REGULAR BENEFIT | |
02368021 | ATENOLOL | MINT-ATENOL 50 MG ORAL TABLET |
0.0938 TAB |
MPI | 0.0938 | N/A | YES | REGULAR BENEFIT | |
02237600 | ATENOLOL | PMS-ATENOLOL 50 MG ORAL TABLET |
0.0938 TAB |
PMS | 0.0938 | N/A | YES | REGULAR BENEFIT | |
02267985 | ATENOLOL | RAN-ATENOLOL 50 MG ORAL TABLET |
0.0938 TAB |
RAN | 0.0938 | N/A | YES | REGULAR BENEFIT | |
02039532 | ATENOLOL | TENORMIN 50 MG ORAL TABLET |
0.6363 TAB |
SLP | 0.0938 | N/A | YES | REGULAR BENEFIT | |
02171791 | ATENOLOL | TEVA-ATENOLOL 50 MG ORAL TABLET |
0.0938 TAB |
TEV | 0.0938 | N/A | YES | REGULAR BENEFIT | |
02248764 | ATENOLOL/ CHLORTHALIDONE | AA-ATENIDONE 100 MG * 25 MG ORAL TABLET |
0.8755 TAB |
AAP | 0.8755 | N/A | NO | REGULAR BENEFIT | |
02248763 | ATENOLOL/ CHLORTHALIDONE | AA-ATENIDONE 50 MG * 25 MG ORAL TABLET |
0.5342 TAB |
AAP | 0.5342 | N/A | NO | REGULAR BENEFIT | |
02256177 | BISOPROLOL FUMARATE | APO-BISOPROLOL 10 MG ORAL TABLET |
0.0885 TAB |
APX | 0.0885 | N/A | YES | REGULAR BENEFIT | |
02391597 | BISOPROLOL FUMARATE | BISOPROLOL 10 MG ORAL TABLET |
0.0885 TAB |
SNS | 0.0885 | N/A | YES | REGULAR BENEFIT | |
02495570 | BISOPROLOL FUMARATE | BISOPROLOL 10 MG ORAL TABLET |
0.0885 TAB |
SIV | 0.0885 | N/A | YES | REGULAR BENEFIT | |
02518791 | BISOPROLOL FUMARATE | JAMP BISOPROLOL 10 MG ORAL TABLET |
0.0885 TAB |
JPC | 0.0885 | N/A | YES | REGULAR BENEFIT | |
02465620 | BISOPROLOL FUMARATE | MINT-BISOPROLOL 10 MG ORAL TABLET |
0.0885 TAB |
MPI | 0.0885 | N/A | YES | REGULAR BENEFIT | |
02494043 | BISOPROLOL FUMARATE | SANDOZ BISOPROLOL 10 MG ORAL TABLET |
0.0885 TAB |
SDZ | 0.0885 | N/A | YES | REGULAR BENEFIT | |
02267489 | BISOPROLOL FUMARATE | TEVA-BISOPROLOL 10 MG ORAL TABLET |
0.0885 TAB |
TEV | 0.0885 | N/A | YES | REGULAR BENEFIT | |
02256134 | BISOPROLOL FUMARATE | APO-BISOPROLOL 5 MG ORAL TABLET |
0.0606 TAB |
APX | 0.0606 | N/A | YES | REGULAR BENEFIT | |
02391589 | BISOPROLOL FUMARATE | BISOPROLOL 5 MG ORAL TABLET |
0.0606 TAB |
SNS | 0.0606 | N/A | YES | REGULAR BENEFIT | |
02495562 | BISOPROLOL FUMARATE | BISOPROLOL 5 MG ORAL TABLET |
0.0606 TAB |
SIV | 0.0606 | N/A | YES | REGULAR BENEFIT | |
02518805 | BISOPROLOL FUMARATE | JAMP BISOPROLOL 5 MG ORAL TABLET |
0.0606 TAB |
JPC | 0.0606 | N/A | YES | REGULAR BENEFIT | |
02465612 | BISOPROLOL FUMARATE | MINT-BISOPROLOL 5 MG ORAL TABLET |
0.0606 TAB |
MPI | 0.0606 | N/A | YES | REGULAR BENEFIT | |
02494035 | BISOPROLOL FUMARATE | SANDOZ BISOPROLOL 5 MG ORAL TABLET |
0.0606 TAB |
SDZ | 0.0606 | N/A | YES | REGULAR BENEFIT | |
02267470 | BISOPROLOL FUMARATE | TEVA-BISOPROLOL 5 MG ORAL TABLET |
0.0606 TAB |
TEV | 0.0606 | N/A | YES | REGULAR BENEFIT | |
02247935 | CARVEDILOL | APO-CARVEDILOL 12.5 MG ORAL TABLET |
0.2060 TAB |
APX | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02418517 | CARVEDILOL | AURO-CARVEDILOL 12.5 MG ORAL TABLET |
0.2060 TAB |
AUR | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02248754 | CARVEDILOL | CARVEDILOL 12.5 MG ORAL TABLET |
0.2060 TAB |
SIV | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02364948 | CARVEDILOL | CARVEDILOL 12.5 MG ORAL TABLET |
0.2060 TAB |
SNS | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02368919 | CARVEDILOL | JAMP-CARVEDILOL 12.5 MG ORAL TABLET |
0.2060 TAB |
JPC | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02245916 | CARVEDILOL | PMS-CARVEDILOL 12.5 MG ORAL TABLET |
0.2060 TAB |
PMS | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02252325 | CARVEDILOL | TEVA-CARVEDILOL 12.5 MG ORAL TABLET |
0.2060 TAB |
TEV | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02418525 | CARVEDILOL | AURO-CARVEDILOL 25 MG ORAL TABLET |
0.2060 TAB |
AUR | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02248755 | CARVEDILOL | CARVEDILOL 25 MG ORAL TABLET |
0.2060 TAB |
SIV | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02364956 | CARVEDILOL | CARVEDILOL 25 MG ORAL TABLET |
0.2060 TAB |
SNS | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02368927 | CARVEDILOL | JAMP-CARVEDILOL 25 MG ORAL TABLET |
0.2060 TAB |
JPC | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02245917 | CARVEDILOL | PMS-CARVEDILOL 25 MG ORAL TABLET |
0.2060 TAB |
PMS | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02252333 | CARVEDILOL | TEVA-CARVEDILOL 25 MG ORAL TABLET |
0.2060 TAB |
TEV | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02247933 | CARVEDILOL | APO-CARVEDILOL 3.125 MG ORAL TABLET |
0.2060 TAB |
APX | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02418495 | CARVEDILOL | AURO-CARVEDILOL 3.125 MG ORAL TABLET |
0.2060 TAB |
AUR | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02248752 | CARVEDILOL | CARVEDILOL 3.125 MG ORAL TABLET |
0.2060 TAB |
SIV | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02364913 | CARVEDILOL | CARVEDILOL 3.125 MG ORAL TABLET |
0.2060 TAB |
SNS | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02368897 | CARVEDILOL | JAMP-CARVEDILOL 3.125 MG ORAL TABLET |
0.2060 TAB |
JPC | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02245914 | CARVEDILOL | PMS-CARVEDILOL 3.125 MG ORAL TABLET |
0.2060 TAB |
PMS | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02252309 | CARVEDILOL | TEVA-CARVEDILOL 3.125 MG ORAL TABLET |
0.2060 TAB |
TEV | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02247934 | CARVEDILOL | APO-CARVEDILOL 6.25 MG ORAL TABLET |
0.2060 TAB |
APX | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02418509 | CARVEDILOL | AURO-CARVEDILOL 6.25 MG ORAL TABLET |
0.2060 TAB |
AUR | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02248753 | CARVEDILOL | CARVEDILOL 6.25 MG ORAL TABLET |
0.2060 TAB |
SIV | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02364921 | CARVEDILOL | CARVEDILOL 6.25 MG ORAL TABLET |
0.2060 TAB |
SNS | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02368900 | CARVEDILOL | JAMP-CARVEDILOL 6.25 MG ORAL TABLET |
0.2060 TAB |
JPC | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02245915 | CARVEDILOL | PMS-CARVEDILOL 6.25 MG ORAL TABLET |
0.2060 TAB |
PMS | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02252317 | CARVEDILOL | TEVA-CARVEDILOL 6.25 MG ORAL TABLET |
0.2060 TAB |
TEV | 0.2060 | N/A | YES | REGULAR BENEFIT | |
02243538 | LABETALOL HCL | APO-LABETALOL 100 MG ORAL TABLET |
0.1983 TAB |
APX | 0.1983 | N/A | YES | REGULAR BENEFIT | |
02489406 | LABETALOL HCL | RIVA-LABETALOL 100 MG ORAL TABLET |
0.1983 TAB |
RIV | 0.1983 | N/A | YES | REGULAR BENEFIT | |
02106272 | LABETALOL HCL | TRANDATE 100 MG ORAL TABLET |
0.3266 TAB |
PAL | 0.1983 | N/A | YES | REGULAR BENEFIT | |
02243539 | LABETALOL HCL | APO-LABETALOL 200 MG ORAL TABLET |
0.3504 TAB |
APX | 0.3504 | N/A | YES | REGULAR BENEFIT | |
02489414 | LABETALOL HCL | RIVA-LABETALOL 200 MG ORAL TABLET |
0.3504 TAB |
RIV | 0.3504 | N/A | YES | REGULAR BENEFIT | |
02106280 | LABETALOL HCL | TRANDATE 200 MG ORAL TABLET |
0.5774 TAB |
PAL | 0.3504 | N/A | YES | REGULAR BENEFIT | |
02285169 | METOPROLOL TARTRATE | AA-METOPROLOL SR 100 MG ORAL SUSTAINED-RELEASE TABLET |
0.1871 TAB |
AAP | N/A | N/A | NO | REGULAR BENEFIT | |
02481324 | METOPROLOL TARTRATE | AG-METOPROLOL-L 100 MG ORAL TABLET |
0.1250 TAB |
AGP | 0.1250 | N/A | YES | REGULAR BENEFIT | |
00751170 | METOPROLOL TARTRATE | APO-METOPROLOL (TYPE L) 100 MG ORAL TABLET |
0.1250 TAB |
APX | 0.1250 | N/A | YES | REGULAR BENEFIT | |
00618640 | METOPROLOL TARTRATE | APO-METOPROLOL 100 MG ORAL TABLET |
0.1250 TAB |
APX | 0.1250 | N/A | YES | REGULAR BENEFIT | |
02356848 | METOPROLOL TARTRATE | JAMP-METOPROLOL-L 100 MG ORAL TABLET |
0.1250 TAB |
JPC | 0.1250 | N/A | YES | REGULAR BENEFIT | |
02350408 | METOPROLOL TARTRATE | METOPROLOL 100 MG ORAL TABLET |
0.1250 TAB |
SNS | 0.1250 | N/A | YES | REGULAR BENEFIT | |
02442132 | METOPROLOL TARTRATE | METOPROLOL-L 100 MG ORAL TABLET |
0.1250 TAB |
SIV | 0.1250 | N/A | YES | REGULAR BENEFIT | |
02230804 | METOPROLOL TARTRATE | PMS-METOPROLOL-L 100 MG ORAL TABLET |
0.1250 TAB |
PMS | 0.1250 | N/A | YES | REGULAR BENEFIT | |
00648043 | METOPROLOL TARTRATE | TEVA-METOPROL (FC) 100 MG ORAL TABLET |
0.1250 TAB |
TEV | 0.1250 | N/A | YES | REGULAR BENEFIT | |
00842656 | METOPROLOL TARTRATE | TEVA-METOPROL 100 MG ORAL TABLET |
0.1250 TAB |
TEV | 0.1250 | N/A | YES | REGULAR BENEFIT | |
02285177 | METOPROLOL TARTRATE | AA-METOPROLOL SR 200 MG ORAL SUSTAINED-RELEASE TABLET |
0.3396 TAB |
AAP | N/A | N/A | NO | REGULAR BENEFIT | |
02246010 | METOPROLOL TARTRATE | APO-METOPROLOL 25 MG ORAL TABLET |
0.0643 TAB |
APX | 0.0643 | N/A | YES | REGULAR BENEFIT | |
02356813 | METOPROLOL TARTRATE | JAMP-METOPROLOL-L 25 MG ORAL TABLET |
0.0643 TAB |
JPC | 0.0643 | N/A | YES | REGULAR BENEFIT | |
02248855 | METOPROLOL TARTRATE | PMS-METOPROLOL-L 25 MG ORAL TABLET |
0.0643 TAB |
PMS | 0.0643 | N/A | YES | REGULAR BENEFIT | |
02481316 | METOPROLOL TARTRATE | AG-METOPROLOL-L 50 MG ORAL TABLET |
0.0624 TAB |
AGP | 0.0624 | N/A | YES | REGULAR BENEFIT | |
00749354 | METOPROLOL TARTRATE | APO-METOPROLOL (TYPE L) 50 MG ORAL TABLET |
0.0624 TAB |
APX | 0.0624 | N/A | YES | REGULAR BENEFIT | |
00618632 | METOPROLOL TARTRATE | APO-METOPROLOL 50 MG ORAL TABLET |
0.0624 TAB |
APX | 0.0624 | N/A | YES | REGULAR BENEFIT | |
02356821 | METOPROLOL TARTRATE | JAMP-METOPROLOL-L 50 MG ORAL TABLET |
0.0624 TAB |
JPC | 0.0624 | N/A | YES | REGULAR BENEFIT | |
02350394 | METOPROLOL TARTRATE | METOPROLOL 50 MG ORAL TABLET |
0.0624 TAB |
SNS | 0.0624 | N/A | YES | REGULAR BENEFIT | |
02442124 | METOPROLOL TARTRATE | METOPROLOL-L 50 MG ORAL TABLET |
0.0624 TAB |
SIV | 0.0624 | N/A | YES | REGULAR BENEFIT | |
02230803 | METOPROLOL TARTRATE | PMS-METOPROLOL-L 50 MG ORAL TABLET |
0.0624 TAB |
PMS | 0.0624 | N/A | YES | REGULAR BENEFIT | |
00648035 | METOPROLOL TARTRATE | TEVA-METOPROL (FC) 50 MG ORAL TABLET |
0.0624 TAB |
TEV | 0.0624 | N/A | YES | REGULAR BENEFIT | |
00842648 | METOPROLOL TARTRATE | TEVA-METOPROL 50 MG ORAL TABLET |
0.0624 TAB |
TEV | 0.0624 | N/A | YES | REGULAR BENEFIT | |
00782475 | NADOLOL | APO-NADOLOL 160 MG ORAL TABLET |
1.3035 TAB |
APX | N/A | N/A | NO | REGULAR BENEFIT | |
00782505 | NADOLOL | APO-NADOLOL 40 MG ORAL TABLET |
0.2375 TAB |
APX | 0.2375 | N/A | YES | REGULAR BENEFIT | |
02496380 | NADOLOL | MINT-NADOLOL 40 MG ORAL TABLET |
0.2375 TAB |
MPI | 0.2375 | N/A | YES | REGULAR BENEFIT | |
00782467 | NADOLOL | APO-NADOLOL 80 MG ORAL TABLET |
0.3410 TAB |
APX | 0.3410 | N/A | YES | REGULAR BENEFIT | |
02496399 | NADOLOL | MINT-NADOLOL 80 MG ORAL TABLET |
0.3410 TAB |
MPI | 0.3410 | N/A | YES | REGULAR BENEFIT | |
00496480 | PROPRANOLOL HCL | TEVA-PROPRANOLOL 10 MG ORAL TABLET |
0.0806 TAB |
TEV | N/A | N/A | NO | REGULAR BENEFIT | |
00740675 | PROPRANOLOL HCL | TEVA-PROPRANOLOL 20 MG ORAL TABLET |
0.1320 TAB |
TEV | N/A | N/A | NO | REGULAR BENEFIT | |
02457857 | PROPRANOLOL HCL | HEMANGIOL 3.75 MG / ML ORAL SOLUTION |
2.2808 ML |
PIE | N/A | N/A | NO | SPECIAL AUTHORIZATION | |
00496499 | PROPRANOLOL HCL | TEVA-PROPRANOLOL 40 MG ORAL TABLET |
0.1457 TAB |
TEV | N/A | N/A | NO | REGULAR BENEFIT | |
00496502 | PROPRANOLOL HCL | TEVA-PROPRANOLOL 80 MG ORAL TABLET |
0.2305 TAB |
TEV | N/A | N/A | NO | REGULAR BENEFIT | |
02167794 | SOTALOL HCL | APO-SOTALOL 160 MG ORAL TABLET |
0.1623 TAB |
APX | 0.1623 | N/A | YES | REGULAR BENEFIT | |
02368625 | SOTALOL HCL | JAMP-SOTALOL 160 MG ORAL TABLET |
0.1623 TAB |
JPC | 0.1623 | N/A | YES | REGULAR BENEFIT | |
02238327 | SOTALOL HCL | PMS-SOTALOL 160 MG ORAL TABLET |
0.1623 TAB |
PMS | 0.1623 | N/A | YES | REGULAR BENEFIT | |
02210428 | SOTALOL HCL | APO-SOTALOL 80 MG ORAL TABLET |
0.2966 TAB |
APX | 0.2966 | N/A | YES | REGULAR BENEFIT | |
02368617 | SOTALOL HCL | JAMP-SOTALOL 80 MG ORAL TABLET |
0.2966 TAB |
JPC | 0.2966 | N/A | YES | REGULAR BENEFIT | |
02238326 | SOTALOL HCL | PMS-SOTALOL 80 MG ORAL TABLET |
0.2966 TAB |
PMS | 0.2966 | N/A | YES | REGULAR BENEFIT |
DIN/NPN/ PIN | 02147602 |
Generic Name | ACEBUTOLOL HCL |
Product Name, Strength & Dosage Form | APO-ACEBUTOLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1871 |
Manufacturer | APX |
LCA Price | 0.1871 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02204517 |
Generic Name | ACEBUTOLOL HCL |
Product Name, Strength & Dosage Form | TEVA-ACEBUTOLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1871 |
Manufacturer | TEV |
LCA Price | 0.1871 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02147610 |
Generic Name | ACEBUTOLOL HCL |
Product Name, Strength & Dosage Form | APO-ACEBUTOLOL 200 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2808 |
Manufacturer | APX |
LCA Price | 0.2808 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02204525 |
Generic Name | ACEBUTOLOL HCL |
Product Name, Strength & Dosage Form | TEVA-ACEBUTOLOL 200 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2808 |
Manufacturer | TEV |
LCA Price | 0.2808 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02147629 |
Generic Name | ACEBUTOLOL HCL |
Product Name, Strength & Dosage Form | APO-ACEBUTOLOL 400 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5348 |
Manufacturer | APX |
LCA Price | 0.5348 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02204533 |
Generic Name | ACEBUTOLOL HCL |
Product Name, Strength & Dosage Form | TEVA-ACEBUTOLOL 400 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5348 |
Manufacturer | TEV |
LCA Price | 0.5348 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02369192 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | AG-ATENOLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1543 |
Manufacturer | AGP |
LCA Price | 0.1543 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00773697 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | APO-ATENOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1543 |
Manufacturer | APX |
LCA Price | 0.1543 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02238318 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | ATENOLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1543 |
Manufacturer | SIV |
LCA Price | 0.1543 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02466473 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | ATENOLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1543 |
Manufacturer | SNS |
LCA Price | 0.1543 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02367572 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | JAMP-ATENOLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1543 |
Manufacturer | JPC |
LCA Price | 0.1543 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02371995 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | MAR-ATENOLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1543 |
Manufacturer | MAR |
LCA Price | 0.1543 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02368048 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | MINT-ATENOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1543 |
Manufacturer | MPI |
LCA Price | 0.1543 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02237601 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | PMS-ATENOLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1543 |
Manufacturer | PMS |
LCA Price | 0.1543 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02267993 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | RAN-ATENOLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1543 |
Manufacturer | RAN |
LCA Price | 0.1543 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02039540 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | TENORMIN 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 1.0461 |
Manufacturer | SLP |
LCA Price | 0.1543 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02171805 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | TEVA-ATENOLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1543 |
Manufacturer | TEV |
LCA Price | 0.1543 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02541564 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | ATENOLOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0441 |
Manufacturer | SIV |
LCA Price | 0.0441 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02367556 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | JAMP-ATENOLOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0441 |
Manufacturer | JPC |
LCA Price | 0.0441 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02371979 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | MAR-ATENOLOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0441 |
Manufacturer | MAR |
LCA Price | 0.0441 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02368013 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | MINT-ATENOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0441 |
Manufacturer | MPI |
LCA Price | 0.0441 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02246581 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | PMS-ATENOLOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0441 |
Manufacturer | PMS |
LCA Price | 0.0441 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02373963 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | RAN-ATENOLOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0441 |
Manufacturer | RAN |
LCA Price | 0.0441 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02266660 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | TEVA-ATENOLOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0441 |
Manufacturer | TEV |
LCA Price | 0.0441 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02369184 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | AG-ATENOLOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0938 |
Manufacturer | AGP |
LCA Price | 0.0938 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00773689 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | APO-ATENOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0938 |
Manufacturer | APX |
LCA Price | 0.0938 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02238316 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | ATENOLOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0938 |
Manufacturer | SIV |
LCA Price | 0.0938 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02466465 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | ATENOLOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0938 |
Manufacturer | SNS |
LCA Price | 0.0938 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02367564 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | JAMP-ATENOLOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0938 |
Manufacturer | JPC |
LCA Price | 0.0938 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02371987 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | MAR-ATENOLOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0938 |
Manufacturer | MAR |
LCA Price | 0.0938 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02368021 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | MINT-ATENOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0938 |
Manufacturer | MPI |
LCA Price | 0.0938 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02237600 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | PMS-ATENOLOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0938 |
Manufacturer | PMS |
LCA Price | 0.0938 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02267985 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | RAN-ATENOLOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0938 |
Manufacturer | RAN |
LCA Price | 0.0938 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02039532 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | TENORMIN 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.6363 |
Manufacturer | SLP |
LCA Price | 0.0938 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02171791 |
Generic Name | ATENOLOL |
Product Name, Strength & Dosage Form | TEVA-ATENOLOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0938 |
Manufacturer | TEV |
LCA Price | 0.0938 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02248764 |
Generic Name | ATENOLOL/ CHLORTHALIDONE |
Product Name, Strength & Dosage Form | AA-ATENIDONE 100 MG * 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.8755 |
Manufacturer | AAP |
LCA Price | 0.8755 |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02248763 |
Generic Name | ATENOLOL/ CHLORTHALIDONE |
Product Name, Strength & Dosage Form | AA-ATENIDONE 50 MG * 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5342 |
Manufacturer | AAP |
LCA Price | 0.5342 |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02256177 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | APO-BISOPROLOL 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0885 |
Manufacturer | APX |
LCA Price | 0.0885 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02391597 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | BISOPROLOL 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0885 |
Manufacturer | SNS |
LCA Price | 0.0885 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02495570 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | BISOPROLOL 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0885 |
Manufacturer | SIV |
LCA Price | 0.0885 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02518791 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | JAMP BISOPROLOL 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0885 |
Manufacturer | JPC |
LCA Price | 0.0885 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02465620 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | MINT-BISOPROLOL 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0885 |
Manufacturer | MPI |
LCA Price | 0.0885 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02494043 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | SANDOZ BISOPROLOL 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0885 |
Manufacturer | SDZ |
LCA Price | 0.0885 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02267489 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | TEVA-BISOPROLOL 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0885 |
Manufacturer | TEV |
LCA Price | 0.0885 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02256134 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | APO-BISOPROLOL 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0606 |
Manufacturer | APX |
LCA Price | 0.0606 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02391589 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | BISOPROLOL 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0606 |
Manufacturer | SNS |
LCA Price | 0.0606 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02495562 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | BISOPROLOL 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0606 |
Manufacturer | SIV |
LCA Price | 0.0606 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02518805 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | JAMP BISOPROLOL 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0606 |
Manufacturer | JPC |
LCA Price | 0.0606 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02465612 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | MINT-BISOPROLOL 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0606 |
Manufacturer | MPI |
LCA Price | 0.0606 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02494035 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | SANDOZ BISOPROLOL 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0606 |
Manufacturer | SDZ |
LCA Price | 0.0606 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02267470 |
Generic Name | BISOPROLOL FUMARATE |
Product Name, Strength & Dosage Form | TEVA-BISOPROLOL 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0606 |
Manufacturer | TEV |
LCA Price | 0.0606 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02247935 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | APO-CARVEDILOL 12.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | APX |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02418517 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | AURO-CARVEDILOL 12.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | AUR |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02248754 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | CARVEDILOL 12.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | SIV |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02364948 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | CARVEDILOL 12.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | SNS |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02368919 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | JAMP-CARVEDILOL 12.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | JPC |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02245916 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | PMS-CARVEDILOL 12.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | PMS |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02252325 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | TEVA-CARVEDILOL 12.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | TEV |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02418525 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | AURO-CARVEDILOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | AUR |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02248755 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | CARVEDILOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | SIV |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02364956 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | CARVEDILOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | SNS |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02368927 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | JAMP-CARVEDILOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | JPC |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02245917 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | PMS-CARVEDILOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | PMS |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02252333 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | TEVA-CARVEDILOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | TEV |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02247933 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | APO-CARVEDILOL 3.125 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | APX |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02418495 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | AURO-CARVEDILOL 3.125 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | AUR |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02248752 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | CARVEDILOL 3.125 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | SIV |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02364913 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | CARVEDILOL 3.125 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | SNS |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02368897 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | JAMP-CARVEDILOL 3.125 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | JPC |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02245914 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | PMS-CARVEDILOL 3.125 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | PMS |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02252309 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | TEVA-CARVEDILOL 3.125 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | TEV |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02247934 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | APO-CARVEDILOL 6.25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | APX |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02418509 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | AURO-CARVEDILOL 6.25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | AUR |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02248753 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | CARVEDILOL 6.25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | SIV |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02364921 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | CARVEDILOL 6.25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | SNS |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02368900 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | JAMP-CARVEDILOL 6.25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | JPC |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02245915 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | PMS-CARVEDILOL 6.25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | PMS |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02252317 |
Generic Name | CARVEDILOL |
Product Name, Strength & Dosage Form | TEVA-CARVEDILOL 6.25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2060 |
Manufacturer | TEV |
LCA Price | 0.2060 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02243538 |
Generic Name | LABETALOL HCL |
Product Name, Strength & Dosage Form | APO-LABETALOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1983 |
Manufacturer | APX |
LCA Price | 0.1983 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02489406 |
Generic Name | LABETALOL HCL |
Product Name, Strength & Dosage Form | RIVA-LABETALOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1983 |
Manufacturer | RIV |
LCA Price | 0.1983 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02106272 |
Generic Name | LABETALOL HCL |
Product Name, Strength & Dosage Form | TRANDATE 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3266 |
Manufacturer | PAL |
LCA Price | 0.1983 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02243539 |
Generic Name | LABETALOL HCL |
Product Name, Strength & Dosage Form | APO-LABETALOL 200 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3504 |
Manufacturer | APX |
LCA Price | 0.3504 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02489414 |
Generic Name | LABETALOL HCL |
Product Name, Strength & Dosage Form | RIVA-LABETALOL 200 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3504 |
Manufacturer | RIV |
LCA Price | 0.3504 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02106280 |
Generic Name | LABETALOL HCL |
Product Name, Strength & Dosage Form | TRANDATE 200 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5774 |
Manufacturer | PAL |
LCA Price | 0.3504 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02285169 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | AA-METOPROLOL SR 100 MG ORAL SUSTAINED-RELEASE TABLET |
Unit Price, Unit of Issue | 0.1871 |
Manufacturer | AAP |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02481324 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | AG-METOPROLOL-L 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1250 |
Manufacturer | AGP |
LCA Price | 0.1250 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00751170 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | APO-METOPROLOL (TYPE L) 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1250 |
Manufacturer | APX |
LCA Price | 0.1250 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00618640 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | APO-METOPROLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1250 |
Manufacturer | APX |
LCA Price | 0.1250 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02356848 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | JAMP-METOPROLOL-L 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1250 |
Manufacturer | JPC |
LCA Price | 0.1250 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02350408 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | METOPROLOL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1250 |
Manufacturer | SNS |
LCA Price | 0.1250 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02442132 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | METOPROLOL-L 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1250 |
Manufacturer | SIV |
LCA Price | 0.1250 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02230804 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | PMS-METOPROLOL-L 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1250 |
Manufacturer | PMS |
LCA Price | 0.1250 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00648043 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | TEVA-METOPROL (FC) 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1250 |
Manufacturer | TEV |
LCA Price | 0.1250 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00842656 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | TEVA-METOPROL 100 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1250 |
Manufacturer | TEV |
LCA Price | 0.1250 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02285177 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | AA-METOPROLOL SR 200 MG ORAL SUSTAINED-RELEASE TABLET |
Unit Price, Unit of Issue | 0.3396 |
Manufacturer | AAP |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02246010 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | APO-METOPROLOL 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0643 |
Manufacturer | APX |
LCA Price | 0.0643 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02356813 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | JAMP-METOPROLOL-L 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0643 |
Manufacturer | JPC |
LCA Price | 0.0643 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02248855 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | PMS-METOPROLOL-L 25 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0643 |
Manufacturer | PMS |
LCA Price | 0.0643 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02481316 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | AG-METOPROLOL-L 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0624 |
Manufacturer | AGP |
LCA Price | 0.0624 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00749354 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | APO-METOPROLOL (TYPE L) 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0624 |
Manufacturer | APX |
LCA Price | 0.0624 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00618632 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | APO-METOPROLOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0624 |
Manufacturer | APX |
LCA Price | 0.0624 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02356821 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | JAMP-METOPROLOL-L 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0624 |
Manufacturer | JPC |
LCA Price | 0.0624 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02350394 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | METOPROLOL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0624 |
Manufacturer | SNS |
LCA Price | 0.0624 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02442124 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | METOPROLOL-L 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0624 |
Manufacturer | SIV |
LCA Price | 0.0624 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02230803 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | PMS-METOPROLOL-L 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0624 |
Manufacturer | PMS |
LCA Price | 0.0624 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00648035 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | TEVA-METOPROL (FC) 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0624 |
Manufacturer | TEV |
LCA Price | 0.0624 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00842648 |
Generic Name | METOPROLOL TARTRATE |
Product Name, Strength & Dosage Form | TEVA-METOPROL 50 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0624 |
Manufacturer | TEV |
LCA Price | 0.0624 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00782475 |
Generic Name | NADOLOL |
Product Name, Strength & Dosage Form | APO-NADOLOL 160 MG ORAL TABLET |
Unit Price, Unit of Issue | 1.3035 |
Manufacturer | APX |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00782505 |
Generic Name | NADOLOL |
Product Name, Strength & Dosage Form | APO-NADOLOL 40 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2375 |
Manufacturer | APX |
LCA Price | 0.2375 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02496380 |
Generic Name | NADOLOL |
Product Name, Strength & Dosage Form | MINT-NADOLOL 40 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2375 |
Manufacturer | MPI |
LCA Price | 0.2375 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00782467 |
Generic Name | NADOLOL |
Product Name, Strength & Dosage Form | APO-NADOLOL 80 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3410 |
Manufacturer | APX |
LCA Price | 0.3410 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02496399 |
Generic Name | NADOLOL |
Product Name, Strength & Dosage Form | MINT-NADOLOL 80 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3410 |
Manufacturer | MPI |
LCA Price | 0.3410 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00496480 |
Generic Name | PROPRANOLOL HCL |
Product Name, Strength & Dosage Form | TEVA-PROPRANOLOL 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.0806 |
Manufacturer | TEV |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00740675 |
Generic Name | PROPRANOLOL HCL |
Product Name, Strength & Dosage Form | TEVA-PROPRANOLOL 20 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1320 |
Manufacturer | TEV |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02457857 |
Generic Name | PROPRANOLOL HCL |
Product Name, Strength & Dosage Form | HEMANGIOL 3.75 MG / ML ORAL SOLUTION |
Unit Price, Unit of Issue | 2.2808 |
Manufacturer | PIE |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | SPECIAL AUTHORIZATION |
Details |
DIN/NPN/ PIN | 00496499 |
Generic Name | PROPRANOLOL HCL |
Product Name, Strength & Dosage Form | TEVA-PROPRANOLOL 40 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1457 |
Manufacturer | TEV |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 00496502 |
Generic Name | PROPRANOLOL HCL |
Product Name, Strength & Dosage Form | TEVA-PROPRANOLOL 80 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2305 |
Manufacturer | TEV |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02167794 |
Generic Name | SOTALOL HCL |
Product Name, Strength & Dosage Form | APO-SOTALOL 160 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1623 |
Manufacturer | APX |
LCA Price | 0.1623 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02368625 |
Generic Name | SOTALOL HCL |
Product Name, Strength & Dosage Form | JAMP-SOTALOL 160 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1623 |
Manufacturer | JPC |
LCA Price | 0.1623 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02238327 |
Generic Name | SOTALOL HCL |
Product Name, Strength & Dosage Form | PMS-SOTALOL 160 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1623 |
Manufacturer | PMS |
LCA Price | 0.1623 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02210428 |
Generic Name | SOTALOL HCL |
Product Name, Strength & Dosage Form | APO-SOTALOL 80 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2966 |
Manufacturer | APX |
LCA Price | 0.2966 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02368617 |
Generic Name | SOTALOL HCL |
Product Name, Strength & Dosage Form | JAMP-SOTALOL 80 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2966 |
Manufacturer | JPC |
LCA Price | 0.2966 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02238326 |
Generic Name | SOTALOL HCL |
Product Name, Strength & Dosage Form | PMS-SOTALOL 80 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.2966 |
Manufacturer | PMS |
LCA Price | 0.2966 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |