Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:24:00 SEDATIVES AND HYPNOTICS
LORAZEPAM
0.5mg SL Tab
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02041456
Ativan
(Off-Formulary Interchangeable)
N/A
N/A
02410745
Lorazepam Sublingual
(Off-Formulary Interchangeable)
0.1099
N/A
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