Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:12:00 ANTICONVULSANTS
LU Criteria Text
LEVETIRACETAM
500mg Tab
Interchangeables found: 17
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02399784
Ach-Levetiracetam
0.3911
0.3911
02274191
Act Levetiracetam
0.3911
0.3911
02285932
Apo-Levetiracetam
0.3911
0.3911
02375257
Auro-Levetiracetam
0.3911
0.3911
02504561
Jamp Levetiracetam Tablets
0.3911
0.3911
02403021
Jamp-Levetiracetam
0.3911
0.3911
02247028
Keppra
2.1725
0.3911
02442558
Levetiracetam
0.3911
0.3911
02454661
Levetiracetam
0.3911
0.3911
02353350
Levetiracetam
0.3911
0.3911
02524570
M-Levetiracetam
0.3911
0.3911
02442396
Mint-Levetiracetam
0.3911
0.3911
02499207
NRA-Levetiracetam
0.3911
0.3911
02440210
Nat-Levetiracetam
0.3911
0.3911
02296128
PMS-Levetiracetam
0.3911
0.3911
02482282
Riva-Levetiracetam
0.3911
0.3911
02461994
Sandoz Levetiracetam
0.3911
0.3911
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