Interchangeable Grouping

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28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:92:00 MISCELLANEOUS CENTRAL NERVOUS SYSTEM DRUGS

RIZATRIPTAN5mg Orally Disintegrating Tab

Interchangeables found: 15

DIN/ PIN/ NPN	Brand Name	Drug Benefit Price or Unit Price	Amount MOH Pays:
02483270	Accel-Rizatriptan ODT(Off-Formulary Interchangeable)	7.7800	7.7800
02393484	Apo-Rizatriptan RPD(Off-Formulary Interchangeable)	11.1150	11.1150
02458764	CCP-Rizatriptan(Off-Formulary Interchangeable)	11.1150	11.1150
02374730	Co Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02465086	Jamp-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02462788	Mar-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02240518	Maxalt RPD(Off-Formulary Interchangeable)	21.4865	11.1650
02439573	Mint-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02379198	Mylan-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02436604	Nat-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1650	11.1650
02393360	PMS-Rizatriptan RDT(Off-Formulary Interchangeable)	11.1150	11.1150
02446111	Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02442906	Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02351870	Sandoz Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150
02396661	Teva-Rizatriptan ODT(Off-Formulary Interchangeable)	11.1150	11.1150