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Products found: 3New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
00548359ALPRAZOLAMXanax 0.25mg TabUJC0.33470.0633YESNONO
00723770ALPRAZOLAMXanax (Off-Formulary Interchangeable) 1mg TabUJCN/AN/AYESNONO
00548367ALPRAZOLAMXanax 0.5mg TabUJC0.40030.0757YESNONO