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Drug Formulary Lookup - Search Results

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Showing results 1 to 25 of 38: Results per page: 
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DIN Brand Name Generic Name Description Eligibility
Status		 ATC Code
02514036  AURO-LURASIDONE LURASIDONE HYDROCHLORIDE 120MG  TAB Part 1 Benefit N05AE05
02513986  AURO-LURASIDONE LURASIDONE HYDROCHLORIDE 20MG  TAB Part 1 Benefit N05AE05
02513994  AURO-LURASIDONE LURASIDONE HYDROCHLORIDE 40MG  TAB Part 1 Benefit N05AE05
02514001  AURO-LURASIDONE LURASIDONE HYDROCHLORIDE 60MG  TAB Part 1 Benefit N05AE05
02514028  AURO-LURASIDONE LURASIDONE HYDROCHLORIDE 80MG  TAB Part 1 Benefit N05AE05
02516470  JAMP LURASIDONE LURASIDONE 120MG  TAB Part 1 Benefit N05AE05
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
02387786  LATUDA LURASIDONE 120MG  TAB Part 1 Benefit N05AE
02387778  LATUDA LURASIDONE 80MG  TAB Part 1 Benefit N05AE
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
02548585  LURASIDONE LURASIDONE HYDROCHLORIDE 20MG  TAB Part 1 Benefit N05AE05
02548593  LURASIDONE LURASIDONE HYDROCHLORIDE 40MG  TAB Part 1 Benefit N05AE05
02548607  LURASIDONE LURASIDONE HYDROCHLORIDE 60MG  TAB Part 1 Benefit N05AE05
02548615  LURASIDONE LURASIDONE HYDROCHLORIDE 80MG  TAB Part 1 Benefit N05AE05
02522314  NRA-LURASIDONE LURASIDONE HYDROCHLORIDE 20MG  TAB Part 1 Benefit N05AE05
02522322  NRA-LURASIDONE LURASIDONE HYDROCHLORIDE 40MG  TAB Part 1 Benefit N05AE05
02522330  NRA-LURASIDONE LURASIDONE HYDROCHLORIDE 60MG  TAB Part 1 Benefit N05AE05
02522349  NRA-LURASIDONE LURASIDONE HYDROCHLORIDE 80MG  TAB Part 1 Benefit N05AE05
02505916  PMS-LURASIDONE LURASIDONE HCL 120MG  TAB Part 1 Benefit N05AE05
02505878  PMS-LURASIDONE LURASIDONE HCL 20MG  TAB Part 1 Benefit N05AE05

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Data Last Updated: 4/27/2025 6:00:07 AM