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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
02268418
PREGABALIN
Lyrica 25mg Cap
UJC
0.9626
0.1481
YES
NO
NO
02268426
PREGABALIN
Lyrica 50mg Cap
UJC
1.5100
0.2324
YES
NO
NO
02268485
PREGABALIN
Lyrica 300mg Cap
UJC
2.6931
0.4145
YES
NO
NO
02268450
PREGABALIN
Lyrica 150mg Cap
UJC
2.6931
0.4145
YES
NO
NO
02268477
PREGABALIN
Lyrica (Off-Formulary Interchangeable) 225mg Cap
UJC
N/A
N/A
YES
NO
NO
02268434
PREGABALIN
Lyrica 75mg Cap
UJC
1.9538
0.3007
YES
NO
NO
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