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Products found: 3

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
00728187	LORAZEPAM	PMS-Lorazepam 0.5mg Tab	PMS	0.0359	0.0359	YES	NO	NO
00728209	LORAZEPAM	PMS-Lorazepam 2mg Tab	PMS	0.0699	0.0699	YES	NO	NO
00728195	LORAZEPAM	PMS-Lorazepam 1mg Tab	PMS	0.0447	0.0447	YES	NO	NO