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Products found: 9
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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
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
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