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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
00655740
LORAZEPAM
Apo-Lorazepam 0.5mg Tab
APX
0.0359
0.0359
YES
NO
NO
00655767
LORAZEPAM
Apo-Lorazepam 2mg Tab
APX
0.0699
0.0699
YES
NO
NO
00655759
LORAZEPAM
Apo-Lorazepam 1mg Tab
APX
0.0447
0.0447
YES
NO
NO
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