Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:16:08 PSYCHOTHERAPEUTIC AGENTS TRANQUILIZERS
CLOZAPINE
25mg
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02248034
AA-Clozapine Tablet
(Off-Formulary Interchangeable)
0.6594
N/A
00894737
Clozaril Tablet
(Off-Formulary Interchangeable)
N/A
N/A
02554658
Gen-Clozapine ODT
(Off-Formulary Interchangeable)
0.6594
N/A
02247243
Gen-Clozapine Tablet
(Off-Formulary Interchangeable)
0.6594
N/A
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