Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:12:00 ANTICONVULSANTS
LU Criteria Text
LACOSAMIDE
200mg Tab
Interchangeables found: 11
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02489317
Ach-Lacosamide
1.4500
1.4500
02475367
Auro-Lacosamide
1.4500
1.4500
02488426
Jamp-Lacosamide
1.4500
1.4500
02512904
Lacosamide
1.4500
1.4500
02487837
Mar-Lacosamide
1.4500
1.4500
02490579
Mint-Lacosamide
1.4500
1.4500
02499592
NRA-Lacosamide
1.4500
1.4500
02478234
Pharma-Lacosamide
1.4500
1.4500
02474700
Sandoz Lacosamide
1.4500
1.4500
02472937
Teva-Lacosamide
1.4500
1.4500
02357658
Vimpat
5.8000
1.4500
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