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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
Interchangeable
Limited Use
Therapeutic Notes
00548359
ALPRAZOLAM
Xanax 0.25mg Tab
UJC
0.3599
0.0633
YES
NO
NO
00723770
ALPRAZOLAM
Xanax (Off-Formulary Interchangeable) 1mg Tab
UJC
N/A
N/A
YES
NO
NO
00548367
ALPRAZOLAM
Xanax 0.5mg Tab
UJC
0.4304
0.0757
YES
NO
NO
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