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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	Inter- change- able	Limited Use	Thera- peutic Notes
02041405	LORAZEPAM	Ativan (Not a Benefit) 4mg/mL Inj Sol (with preservative)	WAY	N/A	N/A	YES	NO	NO
02041464	LORAZEPAM	Ativan (Off-Formulary Interchangeable) 1mg 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
02041472	LORAZEPAM	Ativan (Off-Formulary Interchangeable) 2mg SL Tab	PFI	N/A	N/A	YES	NO	NO
02041413	LORAZEPAM	Ativan 0.5mg Tab	PFI	0.0479	0.0359	YES	NO	NO
02041421	LORAZEPAM	Ativan 1mg Tab	PFI	0.0565	0.0447	YES	NO	NO
02041448	LORAZEPAM	Ativan 2mg Tab	PFI	0.0885	0.0699	YES	NO	NO