Interchangeable Grouping

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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:12:00 ANTICONVULSANTSLU Criteria Text
LEVETIRACETAM250mg Tab
Interchangeables found: 11New Search
DIN/ PIN/ NPNBrand NameDrug Benefit Price or Unit PriceAmount MOH Pays:
02274183Act Levetiracetam0.32100.3210
02285924Apo-Levetiracetam0.32100.3210
02375249Auro-Levetiracetam0.32100.3210
02403005Jamp-Levetiracetam0.32100.3210
02247027Keppra1.78360.3210
02442531Levetiracetam0.32100.3210
02454653Levetiracetam0.32100.3210
02353342Levetiracetam0.32100.3210
02440202Nat-Levetiracetam0.32100.3210
02482274Riva-Levetiracetam0.32100.3210
02461986Sandoz Levetiracetam0.32100.3210