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Drug Formulary Lookup - Search Results

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DIN Brand Name Generic Name Description Eligibility
Status
ATC Code
02247244  GEN-CLOZAPINE CLOZAPINE 100MG  TAB Part 1 Benefit N05AH02
02305011  GEN-CLOZAPINE CLOZAPINE 200MG  TAB Part 1 Benefit N05AH02
02247243  GEN-CLOZAPINE CLOZAPINE 25MG  TAB Part 1 Benefit N05AH02
02305003  GEN-CLOZAPINE CLOZAPINE 50MG  TAB Part 1 Benefit N05AH02
02554674  GEN-CLOZAPINE CLOZAPINE 100MG  TAB-ODT Part 1 Benefit N05AH02
02554682  GEN-CLOZAPINE CLOZAPINE 200MG  TAB-ODT Part 1 Benefit N05AH02
02554658  GEN-CLOZAPINE CLOZAPINE 25MG  TAB-ODT Part 1 Benefit N05AH02
02554666  GEN-CLOZAPINE CLOZAPINE 50MG  TAB-ODT Part 1 Benefit N05AH02

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Data Last Updated: 3/12/2026 6:00:07 AM