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Company GM / / Organization Generic Name and Strength Unit / Department of Vermont Health Access / MG-200 UNIT / MG-125 UNIT / / Person METHSCOPOLAMINE TAB SR / ACETAZOLAMIDE CAP SR / DEXTROAMPHETAMINE CAP SR / SULFATE TAB SR / TAN-PHENYLEPHRINE TAN SUSP / PSEUDOEPHEDRINE TAB SR / Tan Susp / PHENYLEPHRINE CAP SR / / Product CLINDAMYCIN PHOSPHATE / CALCITRIOL / PROBENECID / CARBOPLATIN / COLISTIMETHATE / ALPROSTADIL / CEPHALEXIN / CISPLATIN / ACETAMINOPHEN / CARISOPRODOL / BETHANECHOL CHLORIDE / ABACAVIR SULFATE / CEFTRIAXONE SODIUM / ACETYLCYSTEINE / CLADRIBINE / BALSALAZIDE DISODIUM / CLOTRIMAZOLE / ACYCLOVIR / CEFUROXIME SODIUM / NALOXONE HCL / ALFENTANIL / BICALUTAMIDE / ALENDRONATE SODIUM / CEFOTAXIME SODIUM / CYCLOPHOSPHAMIDE / CROMOLYN SODIUM / AMLODIPINE BESYLATE / BISOPROLOL FUMARATE / CLEMASTINE FUMARATE / BLEOMYCIN SULFATE / CHOLESTYRAMINE LIGHT / CARBAMAZEPINE / MG 7 / ATRACURIUM BESYLATE / CICLOPIROX / BENZONATATE / CHLORPROPAMIDE / CALCIUM ACETATE / VITAMIN D / CEFADROXIL / BROMOCRIPTINE MESYLATE / CEFUROXIME AXETIL / AMPICILLIN / CLONAZEPAM / BENZTROPINE MESYLATE / ALLOPURINOL / CLARITHROMYCIN / ERYTHROMYCIN / CIMETIDINE / ALLOPURINOL SODIUM / ALBUTEROL / AMINOCAPROIC ACID / ACETAZOLAMIDE / BETAXOLOL / CLOMIPHENE CITRATE / ALCLOMETASONE DIPROPIONATE / CEFUROXIME / BRIMONIDINE TARTRATE / ANASTROZOLE / CEFACLOR / CLORAZEPATE DIPOTASSIUM / CEFTAZIDIME / ATRACURIUM BESYLATE PRESERVATIVE FREE / CEFAZOLIN SODIUM / AMPICILLIN SODIUM / BACITRACIN / ALBUTEROL SULFATE / CLOZAPINE / MG 5 / CEFDINIR / BUMETANIDE / CEFPODOXIME PROXETIL / MG 3 / CORTISONE ACETATE / AMPHOTERICIN B / AZITHROMYCIN / CLOBETASOL PROPIONATE / CITALOPRAM HYDROBROMIDE / BACLOFEN / AMIFOSTINE / CHLOROTHIAZIDE / AMOXICILLIN / CHLORZOXAZONE / BUTALBITAL / CEFPROZIL / ACETIC ACID / CILOSTAZOL / CHLORHEXIDINE GLUCONATE / CANDESARTAN CILEXETIL / AMINOPHYLLINE / CABERGOLINE / CHLORTHALIDONE / CAFFEINE CITRATE / ALPRAZOLAM / CALCIPOTRIENE / CAPTOPRIL / AZATHIOPRINE / BETAMETHASONE DIPROPIONATE / FENOFIBRATE / ACYCLOVIR SODIUM / BUSPIRONE HCL / BUTORPHANOL TARTRATE / CIPROFLOXACIN / CLOPIDOGREL BISULFATE / ADENOSINE / CARBINOXAMINE MALEATE / CHLOROQUINE PHOSPHATE / CARVEDILOL / ATENOLOL / CHOLESTYRAMINE / BETAMETHASONE VALERATE / HYDROCHLOROTHIAZIDE / / ProgrammingLanguage ML / / SocialTag 
Department of Vermont Health Access (DVHA) Maximum Allowable Cost (MAC) List Effective as of: [removed]Generic Name and Strength Unit Cost