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Products found: 3
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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
02399776
LEVETIRACETAM
Ach-Levetiracetam 250mg Tab
ACH
0.3210
0.3210
YES
YES
NO
02399792
LEVETIRACETAM
Ach-Levetiracetam 750mg Tab
ACH
0.5416
0.5416
YES
YES
NO
02399784
LEVETIRACETAM
Ach-Levetiracetam 500mg Tab
ACH
0.3911
0.3911
YES
YES
NO
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