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Products found: 19

DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Inter- change- able	Limited Use	Thera- peutic Notes
02420864	ARIPIPRAZOLE	Abilify Maintena 300mg/Vial Prolong-Rel Inj Pd-Vial Pk	OTS	487.2002	487.2002	NO	NO	YES
02420872	ARIPIPRAZOLE	Abilify Maintena 400mg/Vial Prolong-Rel Inj Pd-Vial Pk	OTS	487.2002	487.2002	NO	NO	YES
02322374	ARIPIPRAZOLE	Abilify 2mg Tab	OTS	3.3143	0.8092	YES	NO	YES
02322382	ARIPIPRAZOLE	Abilify 5mg Tab	OTS	3.7052	0.9046	YES	NO	YES
02322390	ARIPIPRAZOLE	Abilify 10mg Tab	OTS	4.4049	1.0754	YES	NO	YES
02322404	ARIPIPRAZOLE	Abilify 15mg Tab	OTS	5.1985	1.2692	YES	NO	YES
02322412	ARIPIPRAZOLE	Abilify 20mg Tab	OTS	4.1028	1.0017	YES	NO	YES
02322455	ARIPIPRAZOLE	Abilify 30mg Tab	OTS	4.1028	1.0017	YES	NO	YES
02461749	BREXPIPRAZOLE	Rexulti 0.25mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02461757	BREXPIPRAZOLE	Rexulti 0.5mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02461803	BREXPIPRAZOLE	Rexulti 4mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02461781	BREXPIPRAZOLE	Rexulti 3mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02461773	BREXPIPRAZOLE	Rexulti 2mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02461765	BREXPIPRAZOLE	Rexulti 1mg Tab	OTS	3.5000	3.5000	NO	NO	NO
02437511	TOLVAPTAN	Jinarc (Off-Formulary Interchangeable) 60mg & 30mg 14-Tabs Pk	OTS	N/A	N/A	YES	NO	NO
02437503	TOLVAPTAN	Jinarc (Off-Formulary Interchangeable) 45mg & 15mg 14-Tabs Pk	OTS	N/A	N/A	YES	NO	NO
02491583	TOLVAPTAN	Jinarc (Off-Formulary Interchangeable) 30mg & 15mg 14-Tabs Pk	OTS	N/A	N/A	YES	NO	NO
02491575	TOLVAPTAN	Jinarc (Off-Formulary Interchangeable) 15mg & 15mg 14-Tabs Pk	OTS	N/A	N/A	YES	NO	NO
02437538	TOLVAPTAN	Jinarc (Off-Formulary Interchangeable) 90mg & 30mg 14-Tabs Pk	OTS	N/A	N/A	YES	NO	NO