Search Results

You can sort your results in ascending / descending order by clicking on the column headings, with the exception of Therapeutic Notes.

Products found: 9

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
02353342	LEVETIRACETAM	Levetiracetam 250mg Tab	SAI	0.3210	0.3210	YES	YES	NO
02442531	LEVETIRACETAM	Levetiracetam 250mg Tab	SIV	0.3210	0.3210	YES	YES	NO
02454653	LEVETIRACETAM	Levetiracetam 250mg Tab	PMS	0.3210	0.3210	YES	YES	NO
02353350	LEVETIRACETAM	Levetiracetam 500mg Tab	SAI	0.3911	0.3911	YES	YES	NO
02454688	LEVETIRACETAM	Levetiracetam 750mg Tab	PMS	0.5416	0.5416	YES	YES	NO
02454661	LEVETIRACETAM	Levetiracetam 500mg Tab	PMS	0.3911	0.3911	YES	YES	NO
02353369	LEVETIRACETAM	Levetiracetam 750mg Tab	SAI	0.5416	0.5416	YES	YES	NO
02442566	LEVETIRACETAM	Levetiracetam 750mg Tab	SIV	0.5416	0.5416	YES	YES	NO
02442558	LEVETIRACETAM	Levetiracetam 500mg Tab	SIV	0.3911	0.3911	YES	YES	NO