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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
02356856
TOPIRAMATE
Topiramate 25mg Tab
SAI
0.2433
0.2433
YES
NO
NO
02389460
TOPIRAMATE
Topiramate 25mg Tab
SIV
0.2433
0.2433
YES
NO
NO
02356872
TOPIRAMATE
Topiramate 200mg Tab
SAI
0.6748
0.6748
YES
NO
NO
02389487
TOPIRAMATE
Topiramate 100mg Tab
SIV
0.4583
0.4583
YES
NO
NO
02356864
TOPIRAMATE
Topiramate 100mg Tab
SAI
0.4583
0.4583
YES
NO
NO
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