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Products found: 13New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02439603LISDEXAMFETAMINE DIMESYLATEVyvanse 10mg CapTAK2.36560.5692YESNOYES
02347156LISDEXAMFETAMINE DIMESYLATEVyvanse 20mg CapTAK2.94260.7081YESNOYES
02322951LISDEXAMFETAMINE DIMESYLATEVyvanse 30mg CapTAK3.51960.8469YESNOYES
02347164LISDEXAMFETAMINE DIMESYLATEVyvanse 40mg CapTAK4.09660.9857YESNOYES
02322978LISDEXAMFETAMINE DIMESYLATEVyvanse 50mg CapTAK4.67361.1246YESNOYES
02347172LISDEXAMFETAMINE DIMESYLATEVyvanse 60mg CapTAK5.25051.2634YESNOYES
02458071LISDEXAMFETAMINE DIMESYLATEVyvanse (Off-Formulary Interchangeable) 70mg CapTAKN/AN/AYESNOYES
02490226LISDEXAMFETAMINE DIMESYLATEVyvanse 10mg Chew TabTAK2.36561.2523YESNOYES
02490234LISDEXAMFETAMINE DIMESYLATEVyvanse 20mg Chew TabTAK2.94261.5577YESNOYES
02490242LISDEXAMFETAMINE DIMESYLATEVyvanse 30mg Chew TabTAK3.51961.8631YESNOYES
02490250LISDEXAMFETAMINE DIMESYLATEVyvanse 40mg Chew TabTAK4.09662.1686YESNOYES
02490269LISDEXAMFETAMINE DIMESYLATEVyvanse 50mg Chew TabTAK4.67362.4740YESNOYES
02490277LISDEXAMFETAMINE DIMESYLATEVyvanse 60mg Chew TabTAK5.25052.7794YESNOYES