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Products found: 4

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
02442906	RIZATRIPTAN	Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	SAI	11.1150	11.1150	YES	NO	NO
02446138	RIZATRIPTAN	Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	SIV	11.1150	11.1150	YES	NO	NO
02442914	RIZATRIPTAN	Rizatriptan ODT (Off-Formulary Interchangeable) 10mg Orally Disintegrating Tab	SAI	11.1150	11.1150	YES	NO	NO
02446111	RIZATRIPTAN	Rizatriptan ODT (Off-Formulary Interchangeable) 5mg Orally Disintegrating Tab	SIV	11.1150	11.1150	YES	NO	NO