Interactive Drug Benefit List
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 0.0787
TAB
APX 0.0787 N/A YES REGULAR BENEFIT Details
02204517 ACEBUTOLOL HCL TEVA-ACEBUTOLOL 100 MG ORAL TABLET 0.0787
TAB
TEV 0.0787 N/A YES REGULAR BENEFIT Details
02147610 ACEBUTOLOL HCL APO-ACEBUTOLOL 200 MG ORAL TABLET 0.1177
TAB
APX 0.1177 N/A YES REGULAR BENEFIT Details
02204525 ACEBUTOLOL HCL TEVA-ACEBUTOLOL 200 MG ORAL TABLET 0.1177
TAB
TEV 0.1177 N/A YES REGULAR BENEFIT Details
02147629 ACEBUTOLOL HCL APO-ACEBUTOLOL 400 MG ORAL TABLET 0.2466
TAB
APX 0.2466 N/A YES REGULAR BENEFIT Details
02204533 ACEBUTOLOL HCL TEVA-ACEBUTOLOL 400 MG ORAL TABLET 0.2466
TAB
TEV 0.2466 N/A YES REGULAR BENEFIT Details
02255553 ATENOLOL ACT ATENOLOL 100 MG ORAL TABLET 0.1821
TAB
APH 0.1821 N/A YES REGULAR BENEFIT Details
00773697 ATENOLOL APO-ATENOL 100 MG ORAL TABLET 0.1821
TAB
APX 0.1821 N/A YES REGULAR BENEFIT Details
02466473 ATENOLOL ATENOLOL 100 MG ORAL TABLET 0.1821
TAB
SNS 0.1821 N/A YES REGULAR BENEFIT Details
02238318 ATENOLOL ATENOLOL 100 MG ORAL TABLET 0.1821
TAB
SIV 0.1821 N/A YES REGULAR BENEFIT Details
02367572 ATENOLOL JAMP-ATENOLOL 100 MG ORAL TABLET 0.1821
TAB
JPC 0.1821 N/A YES REGULAR BENEFIT Details
02371995 ATENOLOL MAR-ATENOLOL 100 MG ORAL TABLET 0.1821
TAB
MAR 0.1821 N/A YES REGULAR BENEFIT Details
02368048 ATENOLOL MINT-ATENOL 100 MG ORAL TABLET 0.1821
TAB
MPI 0.1821 N/A YES REGULAR BENEFIT Details
02237601 ATENOLOL PMS-ATENOLOL 100 MG ORAL TABLET 0.1821
TAB
PMS 0.1821 N/A YES REGULAR BENEFIT Details
02267993 ATENOLOL RAN-ATENOLOL 100 MG ORAL TABLET 0.1821
TAB
RAN 0.1821 N/A YES REGULAR BENEFIT Details
02368668 ATENOLOL SEPTA-ATENOLOL 100 MG ORAL TABLET 0.1821
TAB
SEP 0.1821 N/A YES REGULAR BENEFIT Details
02039540 ATENOLOL TENORMIN 100 MG ORAL TABLET 1.0006
TAB
AZC 0.1821 N/A YES REGULAR BENEFIT Details
02171805 ATENOLOL TEVA-ATENOLOL 100 MG ORAL TABLET 0.1821
TAB
TEV 0.1821 N/A YES REGULAR BENEFIT Details
02367556 ATENOLOL JAMP-ATENOLOL 25 MG ORAL TABLET 0.0521
TAB
JPC 0.0521 N/A YES REGULAR BENEFIT Details
02371979 ATENOLOL MAR-ATENOLOL 25 MG ORAL TABLET 0.0521
TAB
MAR 0.0521 N/A YES REGULAR BENEFIT Details
02368013 ATENOLOL MINT-ATENOL 25 MG ORAL TABLET 0.0521
TAB
MPI 0.0521 N/A YES REGULAR BENEFIT Details
02246581 ATENOLOL PMS-ATENOLOL 25 MG ORAL TABLET 0.0521
TAB
PMS 0.0521 N/A YES REGULAR BENEFIT Details
02373963 ATENOLOL RAN-ATENOLOL 25 MG ORAL TABLET 0.0521
TAB
RAN 0.0521 N/A YES REGULAR BENEFIT Details
02266660 ATENOLOL TEVA-ATENOLOL 25 MG ORAL TABLET 0.0521
TAB
TEV 0.0521 N/A YES REGULAR BENEFIT Details
02255545 ATENOLOL ACT ATENOLOL 50 MG ORAL TABLET 0.1107
TAB
APH 0.1107 N/A YES REGULAR BENEFIT Details
00773689 ATENOLOL APO-ATENOL 50 MG ORAL TABLET 0.1107
TAB
APX 0.1107 N/A YES REGULAR BENEFIT Details
02466465 ATENOLOL ATENOLOL 50 MG ORAL TABLET 0.1107
TAB
SNS 0.1107 N/A YES REGULAR BENEFIT Details
02238316 ATENOLOL ATENOLOL 50 MG ORAL TABLET 0.1107
TAB
SIV 0.1107 N/A YES REGULAR BENEFIT Details
02367564 ATENOLOL JAMP-ATENOLOL 50 MG ORAL TABLET 0.1107
TAB
JPC 0.1107 N/A YES REGULAR BENEFIT Details
02371987 ATENOLOL MAR-ATENOLOL 50 MG ORAL TABLET 0.1107
TAB
MAR 0.1107 N/A YES REGULAR BENEFIT Details
02368021 ATENOLOL MINT-ATENOL 50 MG ORAL TABLET 0.1107
TAB
MPI 0.1107 N/A YES REGULAR BENEFIT Details
02237600 ATENOLOL PMS-ATENOLOL 50 MG ORAL TABLET 0.1107
TAB
PMS 0.1107 N/A YES REGULAR BENEFIT Details
02267985 ATENOLOL RAN-ATENOLOL 50 MG ORAL TABLET 0.1107
TAB
RAN 0.1107 N/A YES REGULAR BENEFIT Details
02368641 ATENOLOL SEPTA-ATENOLOL 50 MG ORAL TABLET 0.1107
TAB
SEP 0.1107 N/A YES REGULAR BENEFIT Details
02039532 ATENOLOL TENORMIN 50 MG ORAL TABLET 0.6086
TAB
AZC 0.1107 N/A YES REGULAR BENEFIT Details
02171791 ATENOLOL TEVA-ATENOLOL 50 MG ORAL TABLET 0.1107
TAB
TEV 0.1107 N/A YES REGULAR BENEFIT Details
02248764 ATENOLOL/ CHLORTHALIDONE APO-ATENIDONE 100 MG * 25 MG ORAL TABLET 0.5236
TAB
APX 0.5236 N/A YES REGULAR BENEFIT Details
02049988 ATENOLOL/ CHLORTHALIDONE TENORETIC 100/25 100 MG * 25 MG ORAL TABLET 1.1673
TAB
AZC 0.5236 N/A YES REGULAR BENEFIT Details
02302926 ATENOLOL/ CHLORTHALIDONE TEVA-ATENOLTHALIDONE 100 MG * 25 MG ORAL TABLET 0.5236
TAB
TEV 0.5236 N/A YES REGULAR BENEFIT Details
02248763 ATENOLOL/ CHLORTHALIDONE APO-ATENIDONE 50 MG * 25 MG ORAL TABLET 0.3195
TAB
APX 0.3195 N/A YES REGULAR BENEFIT Details
02049961 ATENOLOL/ CHLORTHALIDONE TENORETIC 50/25 50 MG * 25 MG ORAL TABLET 0.7122
TAB
AZC 0.3195 N/A YES REGULAR BENEFIT Details
02302918 ATENOLOL/ CHLORTHALIDONE TEVA-ATENOLTHALIDONE 50 MG * 25 MG ORAL TABLET 0.3195
TAB
TEV 0.3195 N/A YES REGULAR BENEFIT Details
02256177 BISOPROLOL FUMARATE APO-BISOPROLOL 10 MG ORAL TABLET 0.1044
TAB
APX 0.1044 N/A YES REGULAR BENEFIT Details
02391597 BISOPROLOL FUMARATE BISOPROLOL 10 MG ORAL TABLET 0.1044
TAB
SNS 0.1044 N/A YES REGULAR BENEFIT Details
02383063 BISOPROLOL FUMARATE BISOPROLOL 10 MG ORAL TABLET 0.1044
TAB
SIV 0.1044 N/A YES REGULAR BENEFIT Details
02465620 BISOPROLOL FUMARATE MINT-BISOPROLOL 10 MG ORAL TABLET 0.1044
TAB
MPI 0.1044 N/A YES REGULAR BENEFIT Details
02247440 BISOPROLOL FUMARATE SANDOZ BISOPROLOL 10 MG ORAL TABLET 0.1044
TAB
SDZ 0.1044 N/A YES REGULAR BENEFIT Details
02267489 BISOPROLOL FUMARATE TEVA-BISOPROLOL 10 MG ORAL TABLET 0.1044
TAB
TEV 0.1044 N/A YES REGULAR BENEFIT Details
02256134 BISOPROLOL FUMARATE APO-BISOPROLOL 5 MG ORAL TABLET 0.0715
TAB
APX 0.0715 N/A YES REGULAR BENEFIT Details
02391589 BISOPROLOL FUMARATE BISOPROLOL 5 MG ORAL TABLET 0.0715
TAB
SNS 0.0715 N/A YES REGULAR BENEFIT Details
02383055 BISOPROLOL FUMARATE BISOPROLOL 5 MG ORAL TABLET 0.0715
TAB
SIV 0.0715 N/A YES REGULAR BENEFIT Details
02465612 BISOPROLOL FUMARATE MINT-BISOPROLOL 5 MG ORAL TABLET 0.0715
TAB
MPI 0.0715 N/A YES REGULAR BENEFIT Details
02247439 BISOPROLOL FUMARATE SANDOZ BISOPROLOL 5 MG ORAL TABLET 0.0715
TAB
SDZ 0.0715 N/A YES REGULAR BENEFIT Details
02267470 BISOPROLOL FUMARATE TEVA-BISOPROLOL 5 MG ORAL TABLET 0.0715
TAB
TEV 0.0715 N/A YES REGULAR BENEFIT Details
02247935 CARVEDILOL APO-CARVEDILOL 12.5 MG ORAL TABLET 0.2431
TAB
APX 0.2431 N/A YES REGULAR BENEFIT Details
02418517 CARVEDILOL AURO-CARVEDILOL 12.5 MG ORAL TABLET 0.2431
TAB
AUR 0.2431 N/A YES REGULAR BENEFIT Details
02364948 CARVEDILOL CARVEDILOL 12.5 MG ORAL TABLET 0.2431
TAB
SNS 0.2431 N/A YES REGULAR BENEFIT Details
02248754 CARVEDILOL CARVEDILOL 12.5 MG ORAL TABLET 0.2431
TAB
SIV 0.2431 N/A YES REGULAR BENEFIT Details
02368919 CARVEDILOL JAMP-CARVEDILOL 12.5 MG ORAL TABLET 0.2431
TAB
JPC 0.2431 N/A YES REGULAR BENEFIT Details
02245916 CARVEDILOL PMS-CARVEDILOL 12.5 MG ORAL TABLET 0.2431
TAB
PMS 0.2431 N/A YES REGULAR BENEFIT Details
02252325 CARVEDILOL TEVA-CARVEDILOL 12.5 MG ORAL TABLET 0.2431
TAB
TEV 0.2431 N/A YES REGULAR BENEFIT Details
02247936 CARVEDILOL APO-CARVEDILOL 25 MG ORAL TABLET 0.2431
TAB
APX 0.2431 N/A YES REGULAR BENEFIT Details
02418525 CARVEDILOL AURO-CARVEDILOL 25 MG ORAL TABLET 0.2431
TAB
AUR 0.2431 N/A YES REGULAR BENEFIT Details
02364956 CARVEDILOL CARVEDILOL 25 MG ORAL TABLET 0.2431
TAB
SNS 0.2431 N/A YES REGULAR BENEFIT Details
02248755 CARVEDILOL CARVEDILOL 25 MG ORAL TABLET 0.2431
TAB
SIV 0.2431 N/A YES REGULAR BENEFIT Details
02368927 CARVEDILOL JAMP-CARVEDILOL 25 MG ORAL TABLET 0.2431
TAB
JPC 0.2431 N/A YES REGULAR BENEFIT Details
02245917 CARVEDILOL PMS-CARVEDILOL 25 MG ORAL TABLET 0.2431
TAB
PMS 0.2431 N/A YES REGULAR BENEFIT Details
02252333 CARVEDILOL TEVA-CARVEDILOL 25 MG ORAL TABLET 0.2431
TAB
TEV 0.2431 N/A YES REGULAR BENEFIT Details
02247933 CARVEDILOL APO-CARVEDILOL 3.125 MG ORAL TABLET 0.2431
TAB
APX 0.2431 N/A YES REGULAR BENEFIT Details
02418495 CARVEDILOL AURO-CARVEDILOL 3.125 MG ORAL TABLET 0.2431
TAB
AUR 0.2431 N/A YES REGULAR BENEFIT Details
02364913 CARVEDILOL CARVEDILOL 3.125 MG ORAL TABLET 0.2431
TAB
SNS 0.2431 N/A YES REGULAR BENEFIT Details
02248752 CARVEDILOL CARVEDILOL 3.125 MG ORAL TABLET 0.2431
TAB
SIV 0.2431 N/A YES REGULAR BENEFIT Details
02368897 CARVEDILOL JAMP-CARVEDILOL 3.125 MG ORAL TABLET 0.2431
TAB
JPC 0.2431 N/A YES REGULAR BENEFIT Details
02245914 CARVEDILOL PMS-CARVEDILOL 3.125 MG ORAL TABLET 0.2431
TAB
PMS 0.2431 N/A YES REGULAR BENEFIT Details
02252309 CARVEDILOL TEVA-CARVEDILOL 3.125 MG ORAL TABLET 0.2431
TAB
TEV 0.2431 N/A YES REGULAR BENEFIT Details
02247934 CARVEDILOL APO-CARVEDILOL 6.25 MG ORAL TABLET 0.2431
TAB
APX 0.2431 N/A YES REGULAR BENEFIT Details
02418509 CARVEDILOL AURO-CARVEDILOL 6.25 MG ORAL TABLET 0.2431
TAB
AUR 0.2431 N/A YES REGULAR BENEFIT Details
02364921 CARVEDILOL CARVEDILOL 6.25 MG ORAL TABLET 0.2431
TAB
SNS 0.2431 N/A YES REGULAR BENEFIT Details
02248753 CARVEDILOL CARVEDILOL 6.25 MG ORAL TABLET 0.2431
TAB
SIV 0.2431 N/A YES REGULAR BENEFIT Details
02368900 CARVEDILOL JAMP-CARVEDILOL 6.25 MG ORAL TABLET 0.2431
TAB
JPC 0.2431 N/A YES REGULAR BENEFIT Details
02245915 CARVEDILOL PMS-CARVEDILOL 6.25 MG ORAL TABLET 0.2431
TAB
PMS 0.2431 N/A YES REGULAR BENEFIT Details
02252317 CARVEDILOL TEVA-CARVEDILOL 6.25 MG ORAL TABLET 0.2431
TAB
TEV 0.2431 N/A YES REGULAR BENEFIT Details
02489406 LABETALOL HCL RIVA-LABETALOL 100 MG ORAL TABLET N/A
TAB
RIV N/A N/A NO UNDER REVIEW Details
02106272 LABETALOL HCL TRANDATE 100 MG ORAL TABLET 0.2956
TAB
PAL N/A N/A NO REGULAR BENEFIT Details
02489414 LABETALOL HCL RIVA-LABETALOL 200 MG ORAL TABLET N/A
TAB
RIV N/A N/A NO UNDER REVIEW Details
02106280 LABETALOL HCL TRANDATE 200 MG ORAL TABLET 0.5226
TAB
PAL N/A N/A NO REGULAR BENEFIT Details
00751170 METOPROLOL TARTRATE APO-METOPROLOL (TYPE L) 100 MG ORAL TABLET 0.1250
TAB
APX 0.1250 N/A YES REGULAR BENEFIT Details
00618640 METOPROLOL TARTRATE APO-METOPROLOL 100 MG ORAL TABLET 0.1250
TAB
APX 0.1250 N/A YES REGULAR BENEFIT Details
02285169 METOPROLOL TARTRATE APO-METOPROLOL SR 100 MG ORAL SUSTAINED-RELEASE TABLET 0.1871
TAB
APX 0.0000 0.0000 YES REGULAR BENEFIT Details
02356848 METOPROLOL TARTRATE JAMP-METOPROLOL-L 100 MG ORAL TABLET 0.1250
TAB
JPC 0.1250 N/A YES REGULAR BENEFIT Details
00658855 METOPROLOL TARTRATE LOPRESOR SR 100 MG ORAL SUSTAINED-RELEASE TABLET 0.3394
TAB
NOV 0.0000 0.0000 YES REGULAR BENEFIT Details
02350408 METOPROLOL TARTRATE METOPROLOL 100 MG ORAL TABLET 0.1250
TAB
SNS 0.1250 N/A YES REGULAR BENEFIT Details
02442132 METOPROLOL TARTRATE METOPROLOL-L 100 MG ORAL TABLET 0.1250
TAB
SIV 0.1250 N/A YES REGULAR BENEFIT Details
02230804 METOPROLOL TARTRATE PMS-METOPROLOL-L 100 MG ORAL TABLET 0.1250
TAB
PMS 0.1250 N/A YES REGULAR BENEFIT Details
02354195 METOPROLOL TARTRATE SANDOZ METOPROLOL (TYPE L) 100 MG ORAL TABLET 0.1250
TAB
SDZ 0.1250 N/A YES REGULAR BENEFIT Details
02303396 METOPROLOL TARTRATE SANDOZ METOPROLOL SR 100 MG ORAL SUSTAINED-RELEASE TABLET 0.1871
TAB
SDZ 0.0000 0.0000 YES REGULAR BENEFIT Details
00648043 METOPROLOL TARTRATE TEVA-METOPROL (FC) 100 MG ORAL TABLET 0.1250
TAB
TEV 0.1250 N/A YES REGULAR BENEFIT Details
00842656 METOPROLOL TARTRATE TEVA-METOPROL 100 MG ORAL TABLET 0.1250
TAB
TEV 0.1250 N/A YES REGULAR BENEFIT Details
02285177 METOPROLOL TARTRATE APO-METOPROLOL SR 200 MG ORAL SUSTAINED-RELEASE TABLET 0.3396
TAB
APX 0.0000 0.0000 YES REGULAR BENEFIT Details
00534560 METOPROLOL TARTRATE LOPRESOR SR 200 MG ORAL SUSTAINED-RELEASE TABLET 0.6162
TAB
NOV 0.0000 0.0000 YES REGULAR BENEFIT Details
02303418 METOPROLOL TARTRATE SANDOZ METOPROLOL SR 200 MG ORAL SUSTAINED-RELEASE TABLET 0.3396
TAB
SDZ 0.0000 0.0000 YES REGULAR BENEFIT Details
02246010 METOPROLOL TARTRATE APO-METOPROLOL 25 MG ORAL TABLET 0.0643
TAB
APX 0.0643 N/A YES REGULAR BENEFIT Details
02356813 METOPROLOL TARTRATE JAMP-METOPROLOL-L 25 MG ORAL TABLET 0.0643
TAB
JPC 0.0643 N/A YES REGULAR BENEFIT Details
02442116 METOPROLOL TARTRATE METOPROLOL-L 25 MG ORAL TABLET N/A
TAB
SIV N/A N/A YES NOT A BENEFIT Details
02248855 METOPROLOL TARTRATE PMS-METOPROLOL-L 25 MG ORAL TABLET 0.0643
TAB
PMS 0.0643 N/A YES REGULAR BENEFIT Details
00749354 METOPROLOL TARTRATE APO-METOPROLOL (TYPE L) 50 MG ORAL TABLET 0.0624
TAB
APX 0.0624 N/A YES REGULAR BENEFIT Details
00618632 METOPROLOL TARTRATE APO-METOPROLOL 50 MG ORAL TABLET 0.0624
TAB
APX 0.0624 N/A YES REGULAR BENEFIT Details
02356821 METOPROLOL TARTRATE JAMP-METOPROLOL-L 50 MG ORAL TABLET 0.0624
TAB
JPC 0.0624 N/A YES REGULAR BENEFIT Details
02350394 METOPROLOL TARTRATE METOPROLOL 50 MG ORAL TABLET 0.0624
TAB
SNS 0.0624 N/A YES REGULAR BENEFIT Details
02442124 METOPROLOL TARTRATE METOPROLOL-L 50 MG ORAL TABLET 0.0624
TAB
SIV 0.0624 N/A YES REGULAR BENEFIT Details
02230803 METOPROLOL TARTRATE PMS-METOPROLOL-L 50 MG ORAL TABLET 0.0624
TAB
PMS 0.0624 N/A YES REGULAR BENEFIT Details
02354187 METOPROLOL TARTRATE SANDOZ METOPROLOL (TYPE L) 50 MG ORAL TABLET 0.0624
TAB
SDZ 0.0624 N/A YES REGULAR BENEFIT Details
00648035 METOPROLOL TARTRATE TEVA-METOPROL (FC) 50 MG ORAL TABLET 0.0624
TAB
TEV 0.0624 N/A YES REGULAR BENEFIT Details
00842648 METOPROLOL TARTRATE TEVA-METOPROL 50 MG ORAL TABLET 0.0624
TAB
TEV 0.0624 N/A YES REGULAR BENEFIT Details
00782475 NADOLOL NADOL 160 MG ORAL TABLET 1.2594
TAB
AAP N/A N/A NO REGULAR BENEFIT Details
00782505 NADOLOL NADOL 40 MG ORAL TABLET 0.4718
TAB
AAP N/A N/A NO REGULAR BENEFIT Details
00782467 NADOLOL NADOL 80 MG ORAL TABLET 0.3879
TAB
AAP N/A N/A NO REGULAR BENEFIT Details
00496480 PROPRANOLOL HCL TEVA-PROPRANOLOL 10 MG ORAL TABLET 0.0631
TAB
TEV N/A N/A NO REGULAR BENEFIT Details
00740675 PROPRANOLOL HCL TEVA-PROPRANOLOL 20 MG ORAL TABLET 0.1086
TAB
TEV N/A N/A NO REGULAR BENEFIT Details
02457857 PROPRANOLOL HCL HEMANGIOL 3.75 MG / ML ORAL SOLUTION 2.2808
ML
PIE N/A N/A NO SPECIAL AUTHORIZATION Details
00496499 PROPRANOLOL HCL TEVA-PROPRANOLOL 40 MG ORAL TABLET 0.1142
TAB
TEV N/A N/A NO REGULAR BENEFIT Details
00496502 PROPRANOLOL HCL TEVA-PROPRANOLOL 80 MG ORAL TABLET 0.1805
TAB
TEV N/A N/A NO REGULAR BENEFIT Details
02167794 SOTALOL HCL APO-SOTALOL 160 MG ORAL TABLET 0.1623
TAB
APX 0.1623 N/A YES REGULAR BENEFIT Details
02368625 SOTALOL HCL JAMP-SOTALOL 160 MG ORAL TABLET 0.1623
TAB
JPC 0.1623 N/A YES REGULAR BENEFIT Details
02238327 SOTALOL HCL PMS-SOTALOL 160 MG ORAL TABLET 0.1623
TAB
PMS 0.1623 N/A YES REGULAR BENEFIT Details
02210428 SOTALOL HCL APO-SOTALOL 80 MG ORAL TABLET 0.2966
TAB
APX 0.2966 N/A YES REGULAR BENEFIT Details
02368617 SOTALOL HCL JAMP-SOTALOL 80 MG ORAL TABLET 0.2966
TAB
JPC 0.2966 N/A YES REGULAR BENEFIT Details
02238326 SOTALOL HCL PMS-SOTALOL 80 MG ORAL TABLET 0.2966
TAB
PMS 0.2966 N/A YES REGULAR BENEFIT Details
DIN/NPN/ PIN 02147602
Generic Name ACEBUTOLOL HCL
Product Name, Strength & Dosage Form APO-ACEBUTOLOL 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.0787
Manufacturer APX
LCA Price 0.0787
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 0.0787
Manufacturer TEV
LCA Price 0.0787
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 0.1177
Manufacturer APX
LCA Price 0.1177
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 0.1177
Manufacturer TEV
LCA Price 0.1177
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 0.2466
Manufacturer APX
LCA Price 0.2466
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 0.2466
Manufacturer TEV
LCA Price 0.2466
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02255553
Generic Name ATENOLOL
Product Name, Strength & Dosage Form ACT ATENOLOL 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1821
Manufacturer APH
LCA Price 0.1821
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 0.1821
Manufacturer APX
LCA Price 0.1821
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 0.1821
Manufacturer SNS
LCA Price 0.1821
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 0.1821
Manufacturer SIV
LCA Price 0.1821
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 0.1821
Manufacturer JPC
LCA Price 0.1821
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 0.1821
Manufacturer MAR
LCA Price 0.1821
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 0.1821
Manufacturer MPI
LCA Price 0.1821
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 0.1821
Manufacturer PMS
LCA Price 0.1821
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 0.1821
Manufacturer RAN
LCA Price 0.1821
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02368668
Generic Name ATENOLOL
Product Name, Strength & Dosage Form SEPTA-ATENOLOL 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1821
Manufacturer SEP
LCA Price 0.1821
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 1.0006
Manufacturer AZC
LCA Price 0.1821
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 0.1821
Manufacturer TEV
LCA Price 0.1821
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 0.0521
Manufacturer JPC
LCA Price 0.0521
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 0.0521
Manufacturer MAR
LCA Price 0.0521
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 0.0521
Manufacturer MPI
LCA Price 0.0521
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 0.0521
Manufacturer PMS
LCA Price 0.0521
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 0.0521
Manufacturer RAN
LCA Price 0.0521
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 0.0521
Manufacturer TEV
LCA Price 0.0521
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02255545
Generic Name ATENOLOL
Product Name, Strength & Dosage Form ACT ATENOLOL 50 MG ORAL TABLET
Unit Price, Unit of Issue 0.1107
Manufacturer APH
LCA Price 0.1107
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 0.1107
Manufacturer APX
LCA Price 0.1107
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 0.1107
Manufacturer SNS
LCA Price 0.1107
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 0.1107
Manufacturer SIV
LCA Price 0.1107
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 0.1107
Manufacturer JPC
LCA Price 0.1107
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 0.1107
Manufacturer MAR
LCA Price 0.1107
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 0.1107
Manufacturer MPI
LCA Price 0.1107
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 0.1107
Manufacturer PMS
LCA Price 0.1107
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 0.1107
Manufacturer RAN
LCA Price 0.1107
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02368641
Generic Name ATENOLOL
Product Name, Strength & Dosage Form SEPTA-ATENOLOL 50 MG ORAL TABLET
Unit Price, Unit of Issue 0.1107
Manufacturer SEP
LCA Price 0.1107
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 0.6086
Manufacturer AZC
LCA Price 0.1107
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 0.1107
Manufacturer TEV
LCA Price 0.1107
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 APO-ATENIDONE 100 MG * 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.5236
Manufacturer APX
LCA Price 0.5236
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02049988
Generic Name ATENOLOL/ CHLORTHALIDONE
Product Name, Strength & Dosage Form TENORETIC 100/25 100 MG * 25 MG ORAL TABLET
Unit Price, Unit of Issue 1.1673
Manufacturer AZC
LCA Price 0.5236
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02302926
Generic Name ATENOLOL/ CHLORTHALIDONE
Product Name, Strength & Dosage Form TEVA-ATENOLTHALIDONE 100 MG * 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.5236
Manufacturer TEV
LCA Price 0.5236
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02248763
Generic Name ATENOLOL/ CHLORTHALIDONE
Product Name, Strength & Dosage Form APO-ATENIDONE 50 MG * 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.3195
Manufacturer APX
LCA Price 0.3195
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02049961
Generic Name ATENOLOL/ CHLORTHALIDONE
Product Name, Strength & Dosage Form TENORETIC 50/25 50 MG * 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.7122
Manufacturer AZC
LCA Price 0.3195
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02302918
Generic Name ATENOLOL/ CHLORTHALIDONE
Product Name, Strength & Dosage Form TEVA-ATENOLTHALIDONE 50 MG * 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.3195
Manufacturer TEV
LCA Price 0.3195
MAC Price N/A
Interchangeable Products YES
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 0.1044
Manufacturer APX
LCA Price 0.1044
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 0.1044
Manufacturer SNS
LCA Price 0.1044
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02383063
Generic Name BISOPROLOL FUMARATE
Product Name, Strength & Dosage Form BISOPROLOL 10 MG ORAL TABLET
Unit Price, Unit of Issue 0.1044
Manufacturer SIV
LCA Price 0.1044
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 0.1044
Manufacturer MPI
LCA Price 0.1044
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02247440
Generic Name BISOPROLOL FUMARATE
Product Name, Strength & Dosage Form SANDOZ BISOPROLOL 10 MG ORAL TABLET
Unit Price, Unit of Issue 0.1044
Manufacturer SDZ
LCA Price 0.1044
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 0.1044
Manufacturer TEV
LCA Price 0.1044
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 0.0715
Manufacturer APX
LCA Price 0.0715
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 0.0715
Manufacturer SNS
LCA Price 0.0715
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02383055
Generic Name BISOPROLOL FUMARATE
Product Name, Strength & Dosage Form BISOPROLOL 5 MG ORAL TABLET
Unit Price, Unit of Issue 0.0715
Manufacturer SIV
LCA Price 0.0715
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 0.0715
Manufacturer MPI
LCA Price 0.0715
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02247439
Generic Name BISOPROLOL FUMARATE
Product Name, Strength & Dosage Form SANDOZ BISOPROLOL 5 MG ORAL TABLET
Unit Price, Unit of Issue 0.0715
Manufacturer SDZ
LCA Price 0.0715
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 0.0715
Manufacturer TEV
LCA Price 0.0715
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 0.2431
Manufacturer APX
LCA Price 0.2431
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 0.2431
Manufacturer AUR
LCA Price 0.2431
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 0.2431
Manufacturer SNS
LCA Price 0.2431
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 0.2431
Manufacturer SIV
LCA Price 0.2431
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 0.2431
Manufacturer JPC
LCA Price 0.2431
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 0.2431
Manufacturer PMS
LCA Price 0.2431
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 0.2431
Manufacturer TEV
LCA Price 0.2431
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02247936
Generic Name CARVEDILOL
Product Name, Strength & Dosage Form APO-CARVEDILOL 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.2431
Manufacturer APX
LCA Price 0.2431
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 0.2431
Manufacturer AUR
LCA Price 0.2431
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 0.2431
Manufacturer SNS
LCA Price 0.2431
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 0.2431
Manufacturer SIV
LCA Price 0.2431
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 0.2431
Manufacturer JPC
LCA Price 0.2431
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 0.2431
Manufacturer PMS
LCA Price 0.2431
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 0.2431
Manufacturer TEV
LCA Price 0.2431
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 0.2431
Manufacturer APX
LCA Price 0.2431
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 0.2431
Manufacturer AUR
LCA Price 0.2431
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 0.2431
Manufacturer SNS
LCA Price 0.2431
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 0.2431
Manufacturer SIV
LCA Price 0.2431
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 0.2431
Manufacturer JPC
LCA Price 0.2431
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 0.2431
Manufacturer PMS
LCA Price 0.2431
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 0.2431
Manufacturer TEV
LCA Price 0.2431
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 0.2431
Manufacturer APX
LCA Price 0.2431
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 0.2431
Manufacturer AUR
LCA Price 0.2431
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 0.2431
Manufacturer SNS
LCA Price 0.2431
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 0.2431
Manufacturer SIV
LCA Price 0.2431
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 0.2431
Manufacturer JPC
LCA Price 0.2431
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 0.2431
Manufacturer PMS
LCA Price 0.2431
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 0.2431
Manufacturer TEV
LCA Price 0.2431
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 N/A
Manufacturer RIV
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status UNDER REVIEW
Details
DIN/NPN/ PIN 02106272
Generic Name LABETALOL HCL
Product Name, Strength & Dosage Form TRANDATE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.2956
Manufacturer PAL
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
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 N/A
Manufacturer RIV
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status UNDER REVIEW
Details
DIN/NPN/ PIN 02106280
Generic Name LABETALOL HCL
Product Name, Strength & Dosage Form TRANDATE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.5226
Manufacturer PAL
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
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 02285169
Generic Name METOPROLOL TARTRATE
Product Name, Strength & Dosage Form APO-METOPROLOL SR 100 MG ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.1871
Manufacturer APX
LCA Price 0.0000
MAC Price 0.0000
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 00658855
Generic Name METOPROLOL TARTRATE
Product Name, Strength & Dosage Form LOPRESOR SR 100 MG ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.3394
Manufacturer NOV
LCA Price 0.0000
MAC Price 0.0000
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 02354195
Generic Name METOPROLOL TARTRATE
Product Name, Strength & Dosage Form SANDOZ METOPROLOL (TYPE L) 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1250
Manufacturer SDZ
LCA Price 0.1250
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02303396
Generic Name METOPROLOL TARTRATE
Product Name, Strength & Dosage Form SANDOZ METOPROLOL SR 100 MG ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.1871
Manufacturer SDZ
LCA Price 0.0000
MAC Price 0.0000
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 APO-METOPROLOL SR 200 MG ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.3396
Manufacturer APX
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00534560
Generic Name METOPROLOL TARTRATE
Product Name, Strength & Dosage Form LOPRESOR SR 200 MG ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.6162
Manufacturer NOV
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02303418
Generic Name METOPROLOL TARTRATE
Product Name, Strength & Dosage Form SANDOZ METOPROLOL SR 200 MG ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.3396
Manufacturer SDZ
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
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 02442116
Generic Name METOPROLOL TARTRATE
Product Name, Strength & Dosage Form METOPROLOL-L 25 MG ORAL TABLET
Unit Price, Unit of Issue N/A
Manufacturer SIV
LCA Price N/A
MAC Price N/A
Interchangeable Products YES
Coverage Status NOT A 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 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 02354187
Generic Name METOPROLOL TARTRATE
Product Name, Strength & Dosage Form SANDOZ METOPROLOL (TYPE L) 50 MG ORAL TABLET
Unit Price, Unit of Issue 0.0624
Manufacturer SDZ
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 NADOL 160 MG ORAL TABLET
Unit Price, Unit of Issue 1.2594
Manufacturer AAP
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 NADOL 40 MG ORAL TABLET
Unit Price, Unit of Issue 0.4718
Manufacturer AAP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00782467
Generic Name NADOLOL
Product Name, Strength & Dosage Form NADOL 80 MG ORAL TABLET
Unit Price, Unit of Issue 0.3879
Manufacturer AAP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
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 0.0631
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 0.1086
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 0.1142
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 0.1805
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
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The DBL, DBS and related publications require knowledgeable interpretation and are intended primarily for professional health care practitioners, pharmacies, hospitals and organizations associated with the manufacture, distribution and use of pharmaceutical preparations.
Electronic versions of all DBL and DBS related publications are unofficial versions and are provided for convenience and private use only. Official paper versions can be obtained from Alberta Blue Cross who publishes them on behalf of Alberta Health and Alberta Human Services.
Alberta Health reserves the right to make changes, without notice, to the List through the Interactive DBL(iDBL), and any such changes to the Interactive DBL(iDBL) are effective the date of the change (unless otherwise stated) and regardless of the date of publication in the paper version or updates.