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Drug Formulary Lookup - Search Results

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DIN Brand Name Generic Name Description Eligibility
Status		 ATC Code
02417367  QUETIAPINE XR QUETIAPINE 150MG  TAB Part 1 Benefit N05AH04
02519615  QUETIAPINE XR QUETIAPINE 150MG  TAB Part 1 Benefit N05AH04
02519623  QUETIAPINE XR QUETIAPINE 200MG  TAB Part 1 Benefit N05AH04
02417375  QUETIAPINE XR QUETIAPINE 200MG  TAB Part 1 Benefit N05AH04
02417383  QUETIAPINE XR QUETIAPINE 300MG  TAB Part 1 Benefit N05AH04
02519747  QUETIAPINE XR QUETIAPINE 300MG  TAB Part 1 Benefit N05AH04
02519763  QUETIAPINE XR QUETIAPINE 400MG  TAB Part 1 Benefit N05AH04
02417391  QUETIAPINE XR QUETIAPINE 400MG  TAB Part 1 Benefit N05AH04
02519607  QUETIAPINE XR QUETIAPINE 50MG  TAB Part 1 Benefit N05AH04
02417359  QUETIAPINE XR QUETIAPINE 50MG  TAB Part 1 Benefit N05AH04

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Data Last Updated: 4/16/2026 6:00:06 AM