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Drug Formulary Lookup - Search Results

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Showing results 26 to 50 of 106: Results per page: 
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DIN Brand Name Generic Name Description Eligibility
Status		 ATC Code
02390167  JAMP QUETIAPINE FUMARATE QUETIAPINE 200MG  TAB Part 1 Benefit N05AH04
02390140  JAMP QUETIAPINE FUMARATE QUETIAPINE 25MG  TAB Part 1 Benefit N05AH04
02390175  JAMP QUETIAPINE FUMARATE QUETIAPINE 300MG  TAB Part 1 Benefit N05AH04
02330423  JAMP-QUETIAPINE QUETIAPINE 100MG  TAB Part 1 Benefit N05AH
02330458  JAMP-QUETIAPINE QUETIAPINE 200MG  TAB Part 1 Benefit N05AH
02330415  JAMP-QUETIAPINE QUETIAPINE 25MG  TAB Part 1 Benefit N05AH
02330466  JAMP-QUETIAPINE QUETIAPINE 300MG  TAB Part 1 Benefit N05AH
02527936  M-QUETIAPINE FUMARATE XR QUETIAPINE 150MG  TAB Part 1 Benefit N05AH04
02527944  M-QUETIAPINE FUMARATE XR QUETIAPINE 200MG  TAB Part 1 Benefit N05AH04
02527952  M-QUETIAPINE FUMARATE XR QUETIAPINE 300MG  TAB Part 1 Benefit N05AH04
02527960  M-QUETIAPINE FUMARATE XR QUETIAPINE 400MG  TAB Part 1 Benefit N05AH04
02527928  M-QUETIAPINE FUMARATE XR QUETIAPINE 50MG  TAB Part 1 Benefit N05AH04
02438011  MINT-QUETIAPINE QUETIAPINE 100MG  TAB Part 1 Benefit N05AH
02438046  MINT-QUETIAPINE QUETIAPINE 200MG  TAB Part 1 Benefit N05AH
02438003  MINT-QUETIAPINE QUETIAPINE 25MG  TAB Part 1 Benefit N05AH
02438054  MINT-QUETIAPINE QUETIAPINE 300MG  TAB Part 1 Benefit N05AH
02522225  MINT-QUETIAPINE XR QUETIAPINE 400MG  ERT Part 1 Benefit N05AH04
02522195  MINT-QUETIAPINE XR QUETIAPINE 150MG  TAB Part 1 Benefit N05AH04
02522209  MINT-QUETIAPINE XR QUETIAPINE 200MG  TAB Part 1 Benefit N05AH04
02522217  MINT-QUETIAPINE XR QUETIAPINE 300MG  TAB Part 1 Benefit N05AH04
02522187  MINT-QUETIAPINE XR QUETIAPINE 50MG  TAB Part 1 Benefit N05AH04
02439166  NAT-QUETIAPINE QUETIAPINE 100MG  TAB Part 1 Benefit N05AH
02439182  NAT-QUETIAPINE QUETIAPINE 200MG  TAB Part 1 Benefit N05AH
02439158  NAT-QUETIAPINE QUETIAPINE 25MG  TAB Part 1 Benefit N05AH
02439190  NAT-QUETIAPINE QUETIAPINE 300MG  TAB Part 1 Benefit N05AH

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Data Last Updated: 3/8/2026 6:00:07 AM