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Products found: 3

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
02274183	LEVETIRACETAM	Act Levetiracetam 250mg Tab	ACV	0.3210	0.3210	YES	YES	NO
02274205	LEVETIRACETAM	Act Levetiracetam 750mg Tab	ACV	0.5416	0.5416	YES	YES	NO
02274191	LEVETIRACETAM	Act Levetiracetam 500mg Tab	ACV	0.3911	0.3911	YES	YES	NO