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Drug Formulary Lookup - Search Results

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DIN Brand Name Generic Name Description Eligibility
Status		 ATC Code
02248035  AA-CLOZAPINE CLOZAPINE 100MG  TAB Part 1 Benefit N05AH02
02248034  AA-CLOZAPINE CLOZAPINE 25MG  TAB Part 1 Benefit N05AH02
00894745  CLOZARIL CLOZAPINE 100MG  TAB Part 1 Benefit N05AH02
00894737  CLOZARIL CLOZAPINE 25MG  TAB Part 1 Benefit N05AH02
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

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Data Last Updated: 5/19/2024 6:00:06 AM