Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:92:00 MISCELLANEOUS CENTRAL NERVOUS SYSTEM DRUGS
RIZATRIPTAN
5mg Tab
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02393468
Apo-Rizatriptan
(Off-Formulary Interchangeable)
12.5970
12.5970
02380455
Jamp-Rizatriptan
(Off-Formulary Interchangeable)
11.1150
11.1150
02429233
Jamp-Rizatriptan IR
(Off-Formulary Interchangeable)
11.1150
11.1150
02240520
Maxalt
(Off-Formulary Interchangeable)
N/A
N/A
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