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Products found: 4
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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
02489287
LACOSAMIDE
Ach-Lacosamide 50mg Tab
ACH
0.6313
0.6313
YES
YES
NO
02489317
LACOSAMIDE
Ach-Lacosamide 200mg Tab
ACH
1.4500
1.4500
YES
YES
NO
02489309
LACOSAMIDE
Ach-Lacosamide 150mg Tab
ACH
1.1763
1.1763
YES
YES
NO
02489295
LACOSAMIDE
Ach-Lacosamide 100mg Tab
ACH
0.8750
0.8750
YES
YES
NO
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