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Products found: 20

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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
02525275	BIMEKIZUMAB	Bimzelx 160mg/mL Inj Sol-1mL Pref Autoinj (Preservative-Free)	UCB	1625.0000	1625.0000	NO	YES	NO
02525267	BIMEKIZUMAB	Bimzelx 160mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	UCB	1625.0000	1625.0000	NO	YES	NO
02553627	BIMEKIZUMAB	Bimzelx 320mg/2mL Inj Sol-2mL Pref Autoinj (Preservative-Free)	UCB	3250.0000	3250.0000	NO	YES	NO
02553619	BIMEKIZUMAB	Bimzelx 320mg/2mL Inj Sol-2mL Pref Syr (Preservative-Free)	UCB	3250.0000	3250.0000	NO	YES	NO
02452979	BRIVARACETAM	Brivlera 100mg Tab	UCB	4.3200	2.1600	YES	YES	NO
02452960	BRIVARACETAM	Brivlera 75mg Tab	UCB	4.3200	2.3760	YES	YES	NO
02452952	BRIVARACETAM	Brivlera 50mg Tab	UCB	4.3200	2.1600	YES	YES	NO
02452936	BRIVARACETAM	Brivlera 10mg Tab	UCB	4.3200	2.3760	YES	YES	NO
02452944	BRIVARACETAM	Brivlera 25mg Tab	UCB	4.3200	2.3760	YES	YES	NO
02357658	LACOSAMIDE	Vimpat 200mg Tab	UCB	5.8000	1.4500	YES	YES	NO
02357631	LACOSAMIDE	Vimpat 150mg Tab	UCB	4.7050	1.1763	YES	YES	NO
02357615	LACOSAMIDE	Vimpat 50mg Tab	UCB	2.5250	0.6313	YES	YES	NO
02357623	LACOSAMIDE	Vimpat 100mg Tab	UCB	3.5000	0.8750	YES	YES	NO
02247029	LEVETIRACETAM	Keppra 750mg Tab	UCB	3.0089	0.5416	YES	YES	NO
02247028	LEVETIRACETAM	Keppra 500mg Tab	UCB	2.1725	0.3911	YES	YES	NO
02247027	LEVETIRACETAM	Keppra 250mg Tab	UCB	1.7836	0.3210	YES	YES	NO
02403927	ROTIGOTINE	Neupro 4mg/24hr Trans Patch	UCB	6.8250	6.8250	NO	YES	NO
02403935	ROTIGOTINE	Neupro 6mg/24hr Trans Patch	UCB	7.6333	7.6333	NO	YES	NO
02403943	ROTIGOTINE	Neupro 8mg/24hr Trans Patch	UCB	7.6333	7.6333	NO	YES	NO
02403900	ROTIGOTINE	Neupro 2mg/24hr Trans Patch	UCB	3.7170	3.7170	NO	YES	NO

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