Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
Therapeutic Note(s)
28:20:00 C.N.S. STIMULANTS
LISDEXAMFETAMINE DIMESYLATE
70mg Cap
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02546728
Apo-Lisdexamfetamine Capsules
(Off-Formulary Interchangeable)
4.6968
N/A
02546302
Sandoz Lisdexamfetamine Capsules
(Off-Formulary Interchangeable)
4.6968
N/A
02545942
Teva Lisdexamfetamine
(Off-Formulary Interchangeable)
4.6968
N/A
02458071
Vyvanse
(Off-Formulary Interchangeable)
N/A
N/A
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