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Drug Formulary Lookup - Search Results

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Showing results 1 to 21 of 21: Results per page: 
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DIN Brand Name Generic Name Description Eligibility
Status		 ATC Code
02516438  JAMP LURASIDONE LURASIDONE HCL 20MG  TAB Part 1 Benefit N05AE05
02516446  JAMP LURASIDONE LURASIDONE HCL 40MG  TAB Part 1 Benefit N05AE05
02516454  JAMP LURASIDONE LURASIDONE HCL 60MG  TAB Part 1 Benefit N05AE05
02516462  JAMP LURASIDONE LURASIDONE HCL 80MG  TAB Part 1 Benefit N05AE05
02422050  LATUDA LURASIDONE HCL 20MG  TAB Part 1 Benefit N05AE
02387751  LATUDA LURASIDONE HCL 40MG  TAB Part 1 Benefit N05AE
02413361  LATUDA LURASIDONE HCL 60MG  TAB Part 1 Benefit N05AE
02505916  PMS-LURASIDONE LURASIDONE HCL 120MG  TAB Part 1 Benefit N05AE05
02505878  PMS-LURASIDONE LURASIDONE HCL 20MG  TAB Part 1 Benefit N05AE05
02505886  PMS-LURASIDONE LURASIDONE HCL 40MG  TAB Part 1 Benefit N05AE05
02505894  PMS-LURASIDONE LURASIDONE HCL 60MG  TAB Part 1 Benefit N05AE05
02505908  PMS-LURASIDONE LURASIDONE HCL 80MG  TAB Part 1 Benefit N05AE05
02521121  SANDOZ LURASIDONE LURASIDONE HCL 120MG  TAB Part 1 Benefit N05AE05
02521075  SANDOZ LURASIDONE LURASIDONE HCL 20MG  TAB Part 1 Benefit N05AE05
02521091  SANDOZ LURASIDONE LURASIDONE HCL 40MG  TAB Part 1 Benefit N05AE05
02521105  SANDOZ LURASIDONE LURASIDONE HCL 60MG  TAB Part 1 Benefit N05AE05
02521113  SANDOZ LURASIDONE LURASIDONE HCL 80MG  TAB Part 1 Benefit N05AE05
02504537  TARO-LURASIDONE LURASIDONE HCL 120MG  TAB Part 1 Benefit N05AE05
02504499  TARO-LURASIDONE LURASIDONE HCL 20MG  TAB Part 1 Benefit N05AE05
02504510  TARO-LURASIDONE LURASIDONE HCL 60MG  TAB Part 1 Benefit N05AE05
02504529  TARO-LURASIDONE LURASIDONE HCL 80MG  TAB Part 1 Benefit N05AE05

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Data Last Updated: 5/9/2025 6:00:06 AM