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Products found: 6
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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
02487802
LACOSAMIDE
ZDS-Lacosamide 50mg Tab
ZDS
0.6313
0.6313
YES
YES
NO
02487810
LACOSAMIDE
ZDS-Lacosamide 100mg Tab
ZDS
0.8750
0.8750
YES
YES
NO
02487829
LACOSAMIDE
ZDS-Lacosamide 150mg Tab
ZDS
1.1763
1.1763
YES
YES
NO
02487837
LACOSAMIDE
ZDS-Lacosamide 200mg Tab
ZDS
1.4500
1.4500
YES
YES
NO
02561298
LIOTHYRONINE (SODIUM)
ZDS-Liothyronine (Off-Formulary Interchangeable) 5mcg Tab
ZDS
1.1587
1.1587
YES
NO
NO
02561301
LIOTHYRONINE (SODIUM)
ZDS-Liothyronine (Off-Formulary Interchangeable) 25mcg Tab
ZDS
1.2595
1.2595
YES
NO
NO
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