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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
02496682
MIRTAZAPINE
Mirtazapine (Off-Formulary Interchangeable) 45mg Tab
SIV
1.1250
N/A
YES
NO
NO
02496674
MIRTAZAPINE
Mirtazapine 30mg Tab
SIV
0.3100
0.3100
YES
NO
NO
02370689
MIRTAZAPINE
Mirtazapine 30mg Tab
SAI
0.3100
0.3100
YES
NO
NO
02496666
MIRTAZAPINE
Mirtazapine (Off-Formulary Interchangeable) 15mg Tab
SIV
0.3750
N/A
YES
NO
NO
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