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Products found: 6
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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
02343010
LAMOTRIGINE
Lamotrigine 25mg Tab
SAI
0.0698
0.0698
YES
NO
NO
02343029
LAMOTRIGINE
Lamotrigine 100mg Tab
SAI
0.2787
0.2787
YES
NO
NO
02428229
LAMOTRIGINE
Lamotrigine 150mg Tab
SIV
0.4107
0.4107
YES
NO
NO
02428202
LAMOTRIGINE
Lamotrigine 25mg Tab
SIV
0.0698
0.0698
YES
NO
NO
02428210
LAMOTRIGINE
Lamotrigine 100mg Tab
SIV
0.2787
0.2787
YES
NO
NO
02343037
LAMOTRIGINE
Lamotrigine 150mg Tab
SAI
0.4107
0.4107
YES
NO
NO
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