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Products found: 4
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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
02512874
LACOSAMIDE
Lacosamide 50mg Tab
SAI
0.6313
0.6313
YES
YES
NO
02512904
LACOSAMIDE
Lacosamide 200mg Tab
SAI
1.4500
1.4500
YES
YES
NO
02512890
LACOSAMIDE
Lacosamide 150mg Tab
SAI
1.1763
1.1763
YES
YES
NO
02512882
LACOSAMIDE
Lacosamide 100mg Tab
SAI
0.8750
0.8750
YES
YES
NO
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