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Products found: 24

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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
02439247	MIXED SALT AMPHETAMINE	Act Amphetamine XR 10mg ER Cap	ACV	0.6105	0.6105	YES	NO	YES
02439255	MIXED SALT AMPHETAMINE	Act Amphetamine XR 15mg ER Cap	ACV	0.6838	0.6838	YES	NO	YES
02439239	MIXED SALT AMPHETAMINE	Act Amphetamine XR 5mg ER Cap	ACV	0.5372	0.5372	YES	NO	YES
02439271	MIXED SALT AMPHETAMINE	Act Amphetamine XR 25mg ER Cap	ACV	0.8305	0.8305	YES	NO	YES
02439263	MIXED SALT AMPHETAMINE	Act Amphetamine XR 20mg ER Cap	ACV	0.7572	0.7572	YES	NO	YES
02439298	MIXED SALT AMPHETAMINE	Act Amphetamine XR 30mg ER Cap	ACV	0.9038	0.9038	YES	NO	YES
02248810	MIXED SALT AMPHETAMINE	Adderall XR 15mg ER Cap	TAK	3.2296	0.6838	YES	NO	YES
02248809	MIXED SALT AMPHETAMINE	Adderall XR 10mg ER Cap	TAK	2.8833	0.6105	YES	NO	YES
02248811	MIXED SALT AMPHETAMINE	Adderall XR 20mg ER Cap	TAK	3.5758	0.7572	YES	NO	YES
02248813	MIXED SALT AMPHETAMINE	Adderall XR 30mg ER Cap	TAK	4.2683	0.9038	YES	NO	YES
02248808	MIXED SALT AMPHETAMINE	Adderall XR 5mg ER Cap	TAK	2.5371	0.5372	YES	NO	YES
02248812	MIXED SALT AMPHETAMINE	Adderall XR 25mg ER Cap	TAK	3.9220	0.8305	YES	NO	YES
02445522	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 20mg ER Cap	APX	0.7572	0.7572	YES	NO	YES
02445514	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 15mg ER Cap	APX	0.6838	0.6838	YES	NO	YES
02445506	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 10mg ER Cap	APX	0.6105	0.6105	YES	NO	YES
02445492	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 5mg ER Cap	APX	0.5372	0.5372	YES	NO	YES
02445549	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 30mg ER Cap	APX	0.9038	0.9038	YES	NO	YES
02445530	MIXED SALT AMPHETAMINE	Apo-Amphetamine XR 25mg ER Cap	APX	0.8305	0.8305	YES	NO	YES
02457342	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 30mg ER Cap	SDZ	0.9038	0.9038	YES	NO	YES
02457334	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 25mg ER Cap	SDZ	0.8305	0.8305	YES	NO	YES
02457296	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 10mg ER Cap	SDZ	0.6105	0.6105	YES	NO	YES
02457288	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 5mg ER Cap	SDZ	0.5372	0.5372	YES	NO	YES
02457318	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 15mg ER Cap	SDZ	0.6838	0.6838	YES	NO	YES
02457326	MIXED SALT AMPHETAMINE	Sandoz Amphetamine XR 20mg ER Cap	SDZ	0.7572	0.7572	YES	NO	YES

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