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Products found: 7

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
02041405	LORAZEPAM	Ativan (Not a Benefit) 4mg/mL Inj Sol (with preservative)	WAY	N/A	N/A	YES	NO	NO
02041472	LORAZEPAM	Ativan (Off-Formulary Interchangeable) 2mg SL Tab	PFI	N/A	N/A	YES	NO	NO
02041456	LORAZEPAM	Ativan (Off-Formulary Interchangeable) 0.5mg SL Tab	PFI	N/A	N/A	YES	NO	NO
02041464	LORAZEPAM	Ativan (Off-Formulary Interchangeable) 1mg SL Tab	PFI	N/A	N/A	YES	NO	NO
02041421	LORAZEPAM	Ativan (Not a Benefit) 1mg Tab	PFI	N/A	N/A	YES	NO	NO
02041448	LORAZEPAM	Ativan (Not a Benefit) 2mg Tab	PFI	N/A	N/A	YES	NO	NO
02041413	LORAZEPAM	Ativan (Not a Benefit) 0.5mg Tab	PFI	N/A	N/A	YES	NO	NO