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Products found: 3
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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
02262991
TOPIRAMATE
PMS-Topiramate 25mg Tab
PMS
0.2433
0.2433
YES
NO
NO
02263017
TOPIRAMATE
PMS-Topiramate 200mg Tab
PMS
0.6748
0.6748
YES
NO
NO
02263009
TOPIRAMATE
PMS-Topiramate 100mg Tab
PMS
0.4583
0.4583
YES
NO
NO
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