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Drug Formulary Lookup - Search Results

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Showing results 1 to 25 of 106: Results per page: 
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DIN Brand Name Generic Name Description Eligibility
Status		 ATC Code
02450879  ACH-QUETIAPINE FUMARATE XR QUETIAPINE 150MG  ERT Part 1 Benefit N05AH04
02450887  ACH-QUETIAPINE FUMARATE XR QUETIAPINE 200MG  ERT Part 1 Benefit N05AH04
02450895  ACH-QUETIAPINE FUMARATE XR QUETIAPINE 300MG  ERT Part 1 Benefit N05AH04
02450909  ACH-QUETIAPINE FUMARATE XR QUETIAPINE 400MG  ERT Part 1 Benefit N05AH04
02450860  ACH-QUETIAPINE FUMARATE XR QUETIAPINE 50MG  ERT Part 1 Benefit N05AH04
02316099  ACT QUETIAPINE QUETIAPINE 100MG  TAB Part 1 Benefit N05AH04
02316110  ACT QUETIAPINE QUETIAPINE 200MG  TAB Part 1 Benefit N05AH04
02316080  ACT QUETIAPINE QUETIAPINE 25MG  TAB Part 1 Benefit N05AH04
02316129  ACT QUETIAPINE QUETIAPINE 300MG  TAB Part 1 Benefit N05AH04
02475979  AG-QUETIAPINE QUETIAPINE 25MG  TAB Part 1 Benefit N05AH04
02501678  APO-QUETIAPINE QUETIAPINE 300MG  TAB Part 1 Benefit N05AH04
02501643  APO-QUETIAPINE FUMARATE QUETIAPINE 100MG  TAB Part 1 Benefit N05AH04
02501651  APO-QUETIAPINE FUMARATE QUETIAPINE 200MG  TAB Part 1 Benefit N05AH04
02501635  APO-QUETIAPINE FUMARATE QUETIAPINE 25MG  TAB Part 1 Benefit N05AH04
02457237  APO-QUETIAPINE XR QUETIAPINE 150MG  TAB Part 1 Benefit N05AH04
02457245  APO-QUETIAPINE XR QUETIAPINE 200MG  TAB Part 1 Benefit N05AH04
02457253  APO-QUETIAPINE XR QUETIAPINE 300MG  TAB Part 1 Benefit N05AH04
02457261  APO-QUETIAPINE XR QUETIAPINE 400MG  TAB Part 1 Benefit N05AH04
02457229  APO-QUETIAPINE XR QUETIAPINE 50MG  TAB Part 1 Benefit N05AH04
02390213  AURO-QUETIAPINE QUETIAPINE 100MG  TAB Part 1 Benefit N05AH04
02390248  AURO-QUETIAPINE QUETIAPINE 200MG  TAB Part 1 Benefit N05AH04
02390205  AURO-QUETIAPINE QUETIAPINE 25MG  TAB Part 1 Benefit N05AH04
02390256  AURO-QUETIAPINE QUETIAPINE 300MG  TAB Part 1 Benefit N05AH04
02447193  BIO-QUETIAPINE QUETIAPINE 25MG  TAB Part 1 Benefit N05AH
02390159  JAMP QUETIAPINE FUMARATE QUETIAPINE 100MG  TAB Part 1 Benefit N05AH04

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Data Last Updated: 5/8/2025 6:00:06 AM