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Products found: 5
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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
02505878
LURASIDONE HYDROCHLORIDE
PMS-Lurasidone 20mg Tab
PMS
1.2250
1.2250
YES
NO
YES
02505886
LURASIDONE HYDROCHLORIDE
PMS-Lurasidone 40mg Tab
PMS
1.2250
1.2250
YES
NO
YES
02505916
LURASIDONE HYDROCHLORIDE
PMS-Lurasidone 120mg Tab
PMS
1.2250
1.2250
YES
NO
YES
02505908
LURASIDONE HYDROCHLORIDE
PMS-Lurasidone 80mg Tab
PMS
1.2250
1.2250
YES
NO
YES
02505894
LURASIDONE HYDROCHLORIDE
PMS-Lurasidone 60mg Tab
PMS
1.2250
1.2250
YES
NO
YES
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