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Products found: 18

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
02239606	CITALOPRAM HYDROBROMIDE	Celexa (Off-Formulary Interchangeable) 10mg Tab	VLH	N/A	N/A	YES	NO	NO
02239607	CITALOPRAM HYDROBROMIDE	Celexa 20mg Tab	VLH	1.8408	0.1332	YES	NO	NO
02239608	CITALOPRAM HYDROBROMIDE	Celexa 40mg Tab	VLH	1.8408	0.1332	YES	NO	NO
02391449	ESCITALOPRAM	Cipralex MELTZ (Not a Benefit) 10mg Orally Disintegrating Tab	VLH	N/A	N/A	YES	NO	NO
02391457	ESCITALOPRAM	Cipralex MELTZ (Not a Benefit) 20mg Orally Disintegrating Tablet	VLH	N/A	N/A	YES	NO	NO
02263238	ESCITALOPRAM	Cipralex 10mg Tab	VLH	2.3358	0.3109	YES	NO	NO
02263254	ESCITALOPRAM	Cipralex 20mg Tab	VLH	2.4939	0.3310	YES	NO	NO
02156032	FLUPENTIXOL DECANOATE	Fluanxol Depot 20mg/mL Inj Sol-1mL Amp Pk	VLH	10.2708	10.2708	NO	NO	NO
02156040	FLUPENTIXOL DECANOATE	Fluanxol Depot 100mg/mL Inj Sol-1mL Amp Pk	VLH	51.3536	51.3536	NO	NO	NO
02156016	FLUPENTIXOL DIHYDROCHLORIDE	Fluanxol 3mg Tab	VLH	0.7663	0.7663	NO	NO	NO
02156008	FLUPENTIXOL DIHYDROCHLORIDE	Fluanxol 0.5mg Tab	VLH	0.3548	0.3548	NO	NO	NO
02260638	MEMANTINE HCL	Ebixa (Off-Formulary Interchangeable) 10mg Tab	VLH	N/A	N/A	YES	NO	NO
02432943	VORTIOXETINE HYDROBROMIDE	Trintellix 20mg Tab	VLH	3.2779	3.2779	NO	NO	NO
02432927	VORTIOXETINE HYDROBROMIDE	Trintellix 10mg Tab	VLH	3.0192	3.0192	NO	NO	NO
02432919	VORTIOXETINE HYDROBROMIDE	Trintellix 5mg Tab	VLH	2.8824	2.8824	NO	NO	NO
02230406	ZUCLOPENTHIXOL DECANOATE	Clopixol Depot 200mg/mL Inj-1mL Pk	VLH	21.3154	21.3154	NO	NO	NO
02230402	ZUCLOPENTHIXOL DIHYDROCHLORIDE	Clopixol 10mg Tab	VLH	0.5483	0.5483	NO	NO	NO
02230403	ZUCLOPENTHIXOL DIHYDROCHLORIDE	Clopixol 25mg Tab	VLH	1.3705	1.3705	NO	NO	NO