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Products found: 5
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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
02452936
BRIVARACETAM
Brivlera 10mg Tab
UCB
4.3200
2.3760
YES
YES
NO
02452944
BRIVARACETAM
Brivlera 25mg Tab
UCB
4.3200
2.3760
YES
YES
NO
02452979
BRIVARACETAM
Brivlera 100mg Tab
UCB
4.3200
2.1600
YES
YES
NO
02452960
BRIVARACETAM
Brivlera 75mg Tab
UCB
4.3200
2.3760
YES
YES
NO
02452952
BRIVARACETAM
Brivlera 50mg Tab
UCB
4.3200
2.1600
YES
YES
NO
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