Interchangeable Grouping

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28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:92:00 MISCELLANEOUS CENTRAL NERVOUS SYSTEM DRUGS

RIZATRIPTAN10mg Orally Disintegrating Tab

Interchangeables found: 17

DIN/ PIN/ NPN	Brand Name	Drug Benefit Price or Unit Price	Amount MOH Pays:
02492490	AG-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02483289	Accel-Rizatriptan ODT(Off-Formulary Interchangeable)	7.7800	7.7800
02393492	Apo-Rizatriptan RPD(Off-Formulary Interchangeable)	11.1150	11.1150
02458772	CCP-Rizatriptan(Off-Formulary Interchangeable)	11.1150	11.1150
02374749	Co Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02465094	Jamp-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02462796	Mar-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02240519	Maxalt RPD(Off-Formulary Interchangeable)	21.4865	11.1650
02439581	Mint-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02379201	Mylan-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02489384	NRA-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02436612	Nat-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1650	11.1650
02393379	PMS-Rizatriptan RDT(Off-Formulary Interchangeable)	11.1150	11.1150
02442914	Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02446138	Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02351889	Sandoz Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02396688	Teva-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150