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Products found: 8

DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Interchangeable	Limited Use	Therapeutic Notes
02404516	PERAMPANEL	Fycompa 2mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02404524	PERAMPANEL	Fycompa 4mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02404532	PERAMPANEL	Fycompa 6mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02404540	PERAMPANEL	Fycompa 8mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02404567	PERAMPANEL	Fycompa 12mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02404559	PERAMPANEL	Fycompa 10mg Tab	EIS	10.3869	5.7128	YES	YES	NO
02369621	RUFINAMIDE	Banzel (Off-Formulary Interchangeable) 200mg Tab	EIS	1.9047	1.0083	YES	NO	NO
02369648	RUFINAMIDE	Banzel (Off-Formulary Interchangeable) 400mg Tab	EIS	4.1503	2.1970	YES	NO	NO