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Drug Formulary Lookup - Search Results

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

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Data Last Updated: 9/8/2026 6:00:06 AM