DIN/NPN/ PIN | Generic Name | Product Name, Strength & Dosage Form | Unit Price, Unit of Issue | Manufacturer | LCA Price | MAC Price | Interchangeable Products | Coverage Status | |
---|---|---|---|---|---|---|---|---|---|
02487632 | OLANZAPINE | AG-OLANZAPINE FC 10 MG ORAL TABLET |
0.7088 TAB |
AGP | 0.7088 | N/A | YES | REGULAR BENEFIT | |
02281821 | OLANZAPINE | APO-OLANZAPINE 10 MG ORAL TABLET |
0.7088 TAB |
APX | 0.7088 | N/A | YES | REGULAR BENEFIT | |
02360624 | OLANZAPINE | APO-OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
0.7143 TAB |
APX | 0.7143 | N/A | YES | REGULAR BENEFIT | |
02448734 | OLANZAPINE | AURO-OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
0.7143 TAB |
AUR | 0.7143 | N/A | YES | REGULAR BENEFIT | |
02417286 | OLANZAPINE | JAMP OLANZAPINE FC 10 MG ORAL TABLET |
0.7088 TAB |
JPC | 0.7088 | N/A | YES | REGULAR BENEFIT | |
02406632 | OLANZAPINE | JAMP-OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
0.7143 TAB |
JPC | 0.7143 | N/A | YES | REGULAR BENEFIT | |
02410184 | OLANZAPINE | MINT-OLANZAPINE 10 MG ORAL TABLET |
0.7088 TAB |
MPI | 0.7088 | N/A | YES | REGULAR BENEFIT | |
02436973 | OLANZAPINE | MINT-OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
0.7143 TAB |
MPI | 0.7143 | N/A | YES | REGULAR BENEFIT | |
02372843 | OLANZAPINE | OLANZAPINE 10 MG ORAL TABLET |
0.7088 TAB |
SNS | 0.7088 | N/A | YES | REGULAR BENEFIT | |
02385899 | OLANZAPINE | OLANZAPINE 10 MG ORAL TABLET |
0.7088 TAB |
SIV | 0.7088 | N/A | YES | REGULAR BENEFIT | |
02343673 | OLANZAPINE | OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
0.7143 TAB |
SIV | 0.7143 | N/A | YES | REGULAR BENEFIT | |
02352982 | OLANZAPINE | OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
0.7143 TAB |
SNS | 0.7143 | N/A | YES | REGULAR BENEFIT | |
02303175 | OLANZAPINE | PMS-OLANZAPINE 10 MG ORAL TABLET |
0.7088 TAB |
PMS | 0.7088 | N/A | YES | REGULAR BENEFIT | |
02303205 | OLANZAPINE | PMS-OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
0.7143 TAB |
PMS | 0.7143 | N/A | YES | REGULAR BENEFIT | |
02310384 | OLANZAPINE | SANDOZ OLANZAPINE 10 MG ORAL TABLET |
0.7088 TAB |
SDZ | 0.7088 | N/A | YES | REGULAR BENEFIT | |
02327783 | OLANZAPINE | SANDOZ OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
0.7143 TAB |
SDZ | 0.7143 | N/A | YES | REGULAR BENEFIT | |
02276747 | OLANZAPINE | TEVA-OLANZAPINE 10 MG ORAL TABLET |
0.7088 TAB |
TEV | 0.7088 | N/A | YES | REGULAR BENEFIT | |
02229285 | OLANZAPINE | ZYPREXA 10 MG ORAL TABLET |
7.9618 TAB |
LIL | 0.7088 | N/A | YES | REGULAR BENEFIT | |
02243087 | OLANZAPINE | ZYPREXA ZYDIS 10 MG ORAL DISINTEGRATING TABLET |
7.9107 TAB |
LIL | 0.7143 | N/A | YES | REGULAR BENEFIT | |
02281848 | OLANZAPINE | APO-OLANZAPINE 15 MG ORAL TABLET |
1.0631 TAB |
APX | 1.0631 | N/A | YES | REGULAR BENEFIT | |
02417294 | OLANZAPINE | JAMP OLANZAPINE FC 15 MG ORAL TABLET |
1.0631 TAB |
JPC | 1.0631 | N/A | YES | REGULAR BENEFIT | |
02410192 | OLANZAPINE | MINT-OLANZAPINE 15 MG ORAL TABLET |
1.0631 TAB |
MPI | 1.0631 | N/A | YES | REGULAR BENEFIT | |
02372851 | OLANZAPINE | OLANZAPINE 15 MG ORAL TABLET |
1.0631 TAB |
SNS | 1.0631 | N/A | YES | REGULAR BENEFIT | |
02385902 | OLANZAPINE | OLANZAPINE 15 MG ORAL TABLET |
1.0631 TAB |
SIV | 1.0631 | N/A | YES | REGULAR BENEFIT | |
02303183 | OLANZAPINE | PMS-OLANZAPINE 15 MG ORAL TABLET |
1.0631 TAB |
PMS | 1.0631 | N/A | YES | REGULAR BENEFIT | |
02303213 | OLANZAPINE | PMS-OLANZAPINE ODT 15 MG ORAL DISINTEGRATING TABLET |
N/A TAB |
PMS | N/A | N/A | NO | NOT A BENEFIT | |
02310392 | OLANZAPINE | SANDOZ OLANZAPINE 15 MG ORAL TABLET |
1.0631 TAB |
SDZ | 1.0631 | N/A | YES | REGULAR BENEFIT | |
02276755 | OLANZAPINE | TEVA-OLANZAPINE 15 MG ORAL TABLET |
1.0631 TAB |
TEV | 1.0631 | N/A | YES | REGULAR BENEFIT | |
02238850 | OLANZAPINE | ZYPREXA 15 MG ORAL TABLET |
12.1457 TAB |
LIL | 1.0631 | N/A | YES | REGULAR BENEFIT | |
02243088 | OLANZAPINE | ZYPREXA ZYDIS 15 MG ORAL DISINTEGRATING TABLET |
N/A TAB |
LIL | N/A | N/A | NO | NOT A BENEFIT | |
02487608 | OLANZAPINE | AG-OLANZAPINE FC 2.5 MG ORAL TABLET |
0.1772 TAB |
AGP | 0.1772 | N/A | YES | REGULAR BENEFIT | |
02281791 | OLANZAPINE | APO-OLANZAPINE 2.5 MG ORAL TABLET |
0.1772 TAB |
APX | 0.1772 | N/A | YES | REGULAR BENEFIT | |
02417243 | OLANZAPINE | JAMP OLANZAPINE FC 2.5 MG ORAL TABLET |
0.1772 TAB |
JPC | 0.1772 | N/A | YES | REGULAR BENEFIT | |
02410141 | OLANZAPINE | MINT-OLANZAPINE 2.5 MG ORAL TABLET |
0.1772 TAB |
MPI | 0.1772 | N/A | YES | REGULAR BENEFIT | |
02372819 | OLANZAPINE | OLANZAPINE 2.5 MG ORAL TABLET |
0.1772 TAB |
SNS | 0.1772 | N/A | YES | REGULAR BENEFIT | |
02385864 | OLANZAPINE | OLANZAPINE 2.5 MG ORAL TABLET |
0.1772 TAB |
SIV | 0.1772 | N/A | YES | REGULAR BENEFIT | |
02303116 | OLANZAPINE | PMS-OLANZAPINE 2.5 MG ORAL TABLET |
0.1772 TAB |
PMS | 0.1772 | N/A | YES | REGULAR BENEFIT | |
02310341 | OLANZAPINE | SANDOZ OLANZAPINE 2.5 MG ORAL TABLET |
0.1772 TAB |
SDZ | 0.1772 | N/A | YES | REGULAR BENEFIT | |
02276712 | OLANZAPINE | TEVA-OLANZAPINE 2.5 MG ORAL TABLET |
0.1772 TAB |
TEV | 0.1772 | N/A | YES | REGULAR BENEFIT | |
02229250 | OLANZAPINE | ZYPREXA 2.5 MG ORAL TABLET |
2.0236 TAB |
LIL | 0.1772 | N/A | YES | REGULAR BENEFIT | |
02238851 | OLANZAPINE | ZYPREXA 20 MG ORAL TABLET |
N/A TAB |
LIL | N/A | N/A | NO | NOT A BENEFIT | |
02243089 | OLANZAPINE | ZYPREXA ZYDIS 20 MG ORAL DISINTEGRATING TABLET |
N/A TAB |
LIL | N/A | N/A | NO | NOT A BENEFIT | |
02487616 | OLANZAPINE | AG-OLANZAPINE FC 5 MG ORAL TABLET |
0.3544 TAB |
AGP | 0.3544 | N/A | YES | REGULAR BENEFIT | |
02281805 | OLANZAPINE | APO-OLANZAPINE 5 MG ORAL TABLET |
0.3544 TAB |
APX | 0.3544 | N/A | YES | REGULAR BENEFIT | |
02360616 | OLANZAPINE | APO-OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
0.3574 TAB |
APX | 0.3574 | N/A | YES | REGULAR BENEFIT | |
02448726 | OLANZAPINE | AURO-OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
0.3574 TAB |
AUR | 0.3574 | N/A | YES | REGULAR BENEFIT | |
02417251 | OLANZAPINE | JAMP OLANZAPINE FC 5 MG ORAL TABLET |
0.3544 TAB |
JPC | 0.3544 | N/A | YES | REGULAR BENEFIT | |
02406624 | OLANZAPINE | JAMP-OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
0.3574 TAB |
JPC | 0.3574 | N/A | YES | REGULAR BENEFIT | |
02410168 | OLANZAPINE | MINT-OLANZAPINE 5 MG ORAL TABLET |
0.3544 TAB |
MPI | 0.3544 | N/A | YES | REGULAR BENEFIT | |
02436965 | OLANZAPINE | MINT-OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
0.3574 TAB |
MPI | 0.3574 | N/A | YES | REGULAR BENEFIT | |
02372827 | OLANZAPINE | OLANZAPINE 5 MG ORAL TABLET |
0.3544 TAB |
SNS | 0.3544 | N/A | YES | REGULAR BENEFIT | |
02385872 | OLANZAPINE | OLANZAPINE 5 MG ORAL TABLET |
0.3544 TAB |
SIV | 0.3544 | N/A | YES | REGULAR BENEFIT | |
02343665 | OLANZAPINE | OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
0.3574 TAB |
SIV | 0.3574 | N/A | YES | REGULAR BENEFIT | |
02352974 | OLANZAPINE | OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
0.3574 TAB |
SNS | 0.3574 | N/A | YES | REGULAR BENEFIT | |
02303159 | OLANZAPINE | PMS-OLANZAPINE 5 MG ORAL TABLET |
0.3544 TAB |
PMS | 0.3544 | N/A | YES | REGULAR BENEFIT | |
02303191 | OLANZAPINE | PMS-OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
0.3574 TAB |
PMS | 0.3574 | N/A | YES | REGULAR BENEFIT | |
02310368 | OLANZAPINE | SANDOZ OLANZAPINE 5 MG ORAL TABLET |
0.3544 TAB |
SDZ | 0.3544 | N/A | YES | REGULAR BENEFIT | |
02327775 | OLANZAPINE | SANDOZ OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
0.3574 TAB |
SDZ | 0.3574 | N/A | YES | REGULAR BENEFIT | |
02276720 | OLANZAPINE | TEVA-OLANZAPINE 5 MG ORAL TABLET |
0.3544 TAB |
TEV | 0.3544 | N/A | YES | REGULAR BENEFIT | |
02229269 | OLANZAPINE | ZYPREXA 5 MG ORAL TABLET |
3.9807 TAB |
LIL | 0.3544 | N/A | YES | REGULAR BENEFIT | |
02243086 | OLANZAPINE | ZYPREXA ZYDIS 5 MG ORAL DISINTEGRATING TABLET |
3.9589 TAB |
LIL | 0.3574 | N/A | YES | REGULAR BENEFIT | |
02281813 | OLANZAPINE | APO-OLANZAPINE 7.5 MG ORAL TABLET |
0.5316 TAB |
APX | 0.5316 | N/A | YES | REGULAR BENEFIT | |
02417278 | OLANZAPINE | JAMP OLANZAPINE FC 7.5 MG ORAL TABLET |
0.5316 TAB |
JPC | 0.5316 | N/A | YES | REGULAR BENEFIT | |
02410176 | OLANZAPINE | MINT-OLANZAPINE 7.5 MG ORAL TABLET |
0.5316 TAB |
MPI | 0.5316 | N/A | YES | REGULAR BENEFIT | |
02372835 | OLANZAPINE | OLANZAPINE 7.5 MG ORAL TABLET |
0.5316 TAB |
SNS | 0.5316 | N/A | YES | REGULAR BENEFIT | |
02385880 | OLANZAPINE | OLANZAPINE 7.5 MG ORAL TABLET |
0.5316 TAB |
SIV | 0.5316 | N/A | YES | REGULAR BENEFIT | |
02303167 | OLANZAPINE | PMS-OLANZAPINE 7.5 MG ORAL TABLET |
0.5316 TAB |
PMS | 0.5316 | N/A | YES | REGULAR BENEFIT | |
02310376 | OLANZAPINE | SANDOZ OLANZAPINE 7.5 MG ORAL TABLET |
0.5316 TAB |
SDZ | 0.5316 | N/A | YES | REGULAR BENEFIT | |
02276739 | OLANZAPINE | TEVA-OLANZAPINE 7.5 MG ORAL TABLET |
0.5316 TAB |
TEV | 0.5316 | N/A | YES | REGULAR BENEFIT | |
02229277 | OLANZAPINE | ZYPREXA 7.5 MG ORAL TABLET |
5.9711 TAB |
LIL | 0.5316 | N/A | YES | REGULAR BENEFIT |
DIN/NPN/ PIN | 02487632 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | AG-OLANZAPINE FC 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.7088 |
Manufacturer | AGP |
LCA Price | 0.7088 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02281821 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | APO-OLANZAPINE 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.7088 |
Manufacturer | APX |
LCA Price | 0.7088 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02360624 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | APO-OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.7143 |
Manufacturer | APX |
LCA Price | 0.7143 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02448734 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | AURO-OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.7143 |
Manufacturer | AUR |
LCA Price | 0.7143 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02417286 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | JAMP OLANZAPINE FC 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.7088 |
Manufacturer | JPC |
LCA Price | 0.7088 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02406632 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | JAMP-OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.7143 |
Manufacturer | JPC |
LCA Price | 0.7143 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02410184 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | MINT-OLANZAPINE 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.7088 |
Manufacturer | MPI |
LCA Price | 0.7088 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02436973 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | MINT-OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.7143 |
Manufacturer | MPI |
LCA Price | 0.7143 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02372843 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.7088 |
Manufacturer | SNS |
LCA Price | 0.7088 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02385899 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.7088 |
Manufacturer | SIV |
LCA Price | 0.7088 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02343673 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.7143 |
Manufacturer | SIV |
LCA Price | 0.7143 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02352982 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.7143 |
Manufacturer | SNS |
LCA Price | 0.7143 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02303175 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | PMS-OLANZAPINE 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.7088 |
Manufacturer | PMS |
LCA Price | 0.7088 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02303205 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | PMS-OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.7143 |
Manufacturer | PMS |
LCA Price | 0.7143 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02310384 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | SANDOZ OLANZAPINE 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.7088 |
Manufacturer | SDZ |
LCA Price | 0.7088 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02327783 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | SANDOZ OLANZAPINE ODT 10 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.7143 |
Manufacturer | SDZ |
LCA Price | 0.7143 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02276747 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | TEVA-OLANZAPINE 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.7088 |
Manufacturer | TEV |
LCA Price | 0.7088 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02229285 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | ZYPREXA 10 MG ORAL TABLET |
Unit Price, Unit of Issue | 7.9618 |
Manufacturer | LIL |
LCA Price | 0.7088 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02243087 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | ZYPREXA ZYDIS 10 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 7.9107 |
Manufacturer | LIL |
LCA Price | 0.7143 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02281848 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | APO-OLANZAPINE 15 MG ORAL TABLET |
Unit Price, Unit of Issue | 1.0631 |
Manufacturer | APX |
LCA Price | 1.0631 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02417294 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | JAMP OLANZAPINE FC 15 MG ORAL TABLET |
Unit Price, Unit of Issue | 1.0631 |
Manufacturer | JPC |
LCA Price | 1.0631 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02410192 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | MINT-OLANZAPINE 15 MG ORAL TABLET |
Unit Price, Unit of Issue | 1.0631 |
Manufacturer | MPI |
LCA Price | 1.0631 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02372851 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE 15 MG ORAL TABLET |
Unit Price, Unit of Issue | 1.0631 |
Manufacturer | SNS |
LCA Price | 1.0631 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02385902 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE 15 MG ORAL TABLET |
Unit Price, Unit of Issue | 1.0631 |
Manufacturer | SIV |
LCA Price | 1.0631 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02303183 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | PMS-OLANZAPINE 15 MG ORAL TABLET |
Unit Price, Unit of Issue | 1.0631 |
Manufacturer | PMS |
LCA Price | 1.0631 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02303213 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | PMS-OLANZAPINE ODT 15 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | N/A |
Manufacturer | PMS |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | NOT A BENEFIT |
Details |
DIN/NPN/ PIN | 02310392 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | SANDOZ OLANZAPINE 15 MG ORAL TABLET |
Unit Price, Unit of Issue | 1.0631 |
Manufacturer | SDZ |
LCA Price | 1.0631 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02276755 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | TEVA-OLANZAPINE 15 MG ORAL TABLET |
Unit Price, Unit of Issue | 1.0631 |
Manufacturer | TEV |
LCA Price | 1.0631 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02238850 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | ZYPREXA 15 MG ORAL TABLET |
Unit Price, Unit of Issue | 12.1457 |
Manufacturer | LIL |
LCA Price | 1.0631 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02243088 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | ZYPREXA ZYDIS 15 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | N/A |
Manufacturer | LIL |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | NOT A BENEFIT |
Details |
DIN/NPN/ PIN | 02487608 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | AG-OLANZAPINE FC 2.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1772 |
Manufacturer | AGP |
LCA Price | 0.1772 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02281791 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | APO-OLANZAPINE 2.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1772 |
Manufacturer | APX |
LCA Price | 0.1772 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02417243 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | JAMP OLANZAPINE FC 2.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1772 |
Manufacturer | JPC |
LCA Price | 0.1772 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02410141 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | MINT-OLANZAPINE 2.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1772 |
Manufacturer | MPI |
LCA Price | 0.1772 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02372819 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE 2.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1772 |
Manufacturer | SNS |
LCA Price | 0.1772 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02385864 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE 2.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1772 |
Manufacturer | SIV |
LCA Price | 0.1772 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02303116 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | PMS-OLANZAPINE 2.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1772 |
Manufacturer | PMS |
LCA Price | 0.1772 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02310341 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | SANDOZ OLANZAPINE 2.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1772 |
Manufacturer | SDZ |
LCA Price | 0.1772 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02276712 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | TEVA-OLANZAPINE 2.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.1772 |
Manufacturer | TEV |
LCA Price | 0.1772 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02229250 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | ZYPREXA 2.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 2.0236 |
Manufacturer | LIL |
LCA Price | 0.1772 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02238851 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | ZYPREXA 20 MG ORAL TABLET |
Unit Price, Unit of Issue | N/A |
Manufacturer | LIL |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | NOT A BENEFIT |
Details |
DIN/NPN/ PIN | 02243089 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | ZYPREXA ZYDIS 20 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | N/A |
Manufacturer | LIL |
LCA Price | N/A |
MAC Price | N/A |
Interchangeable Products | NO |
Coverage Status | NOT A BENEFIT |
Details |
DIN/NPN/ PIN | 02487616 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | AG-OLANZAPINE FC 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3544 |
Manufacturer | AGP |
LCA Price | 0.3544 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02281805 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | APO-OLANZAPINE 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3544 |
Manufacturer | APX |
LCA Price | 0.3544 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02360616 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | APO-OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.3574 |
Manufacturer | APX |
LCA Price | 0.3574 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02448726 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | AURO-OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.3574 |
Manufacturer | AUR |
LCA Price | 0.3574 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02417251 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | JAMP OLANZAPINE FC 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3544 |
Manufacturer | JPC |
LCA Price | 0.3544 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02406624 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | JAMP-OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.3574 |
Manufacturer | JPC |
LCA Price | 0.3574 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02410168 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | MINT-OLANZAPINE 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3544 |
Manufacturer | MPI |
LCA Price | 0.3544 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02436965 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | MINT-OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.3574 |
Manufacturer | MPI |
LCA Price | 0.3574 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02372827 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3544 |
Manufacturer | SNS |
LCA Price | 0.3544 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02385872 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3544 |
Manufacturer | SIV |
LCA Price | 0.3544 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02343665 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.3574 |
Manufacturer | SIV |
LCA Price | 0.3574 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02352974 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.3574 |
Manufacturer | SNS |
LCA Price | 0.3574 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02303159 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | PMS-OLANZAPINE 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3544 |
Manufacturer | PMS |
LCA Price | 0.3544 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02303191 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | PMS-OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.3574 |
Manufacturer | PMS |
LCA Price | 0.3574 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02310368 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | SANDOZ OLANZAPINE 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3544 |
Manufacturer | SDZ |
LCA Price | 0.3544 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02327775 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | SANDOZ OLANZAPINE ODT 5 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 0.3574 |
Manufacturer | SDZ |
LCA Price | 0.3574 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02276720 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | TEVA-OLANZAPINE 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.3544 |
Manufacturer | TEV |
LCA Price | 0.3544 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02229269 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | ZYPREXA 5 MG ORAL TABLET |
Unit Price, Unit of Issue | 3.9807 |
Manufacturer | LIL |
LCA Price | 0.3544 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02243086 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | ZYPREXA ZYDIS 5 MG ORAL DISINTEGRATING TABLET |
Unit Price, Unit of Issue | 3.9589 |
Manufacturer | LIL |
LCA Price | 0.3574 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02281813 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | APO-OLANZAPINE 7.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5316 |
Manufacturer | APX |
LCA Price | 0.5316 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02417278 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | JAMP OLANZAPINE FC 7.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5316 |
Manufacturer | JPC |
LCA Price | 0.5316 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02410176 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | MINT-OLANZAPINE 7.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5316 |
Manufacturer | MPI |
LCA Price | 0.5316 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02372835 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE 7.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5316 |
Manufacturer | SNS |
LCA Price | 0.5316 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02385880 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | OLANZAPINE 7.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5316 |
Manufacturer | SIV |
LCA Price | 0.5316 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02303167 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | PMS-OLANZAPINE 7.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5316 |
Manufacturer | PMS |
LCA Price | 0.5316 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02310376 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | SANDOZ OLANZAPINE 7.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5316 |
Manufacturer | SDZ |
LCA Price | 0.5316 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02276739 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | TEVA-OLANZAPINE 7.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 0.5316 |
Manufacturer | TEV |
LCA Price | 0.5316 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |
DIN/NPN/ PIN | 02229277 |
Generic Name | OLANZAPINE |
Product Name, Strength & Dosage Form | ZYPREXA 7.5 MG ORAL TABLET |
Unit Price, Unit of Issue | 5.9711 |
Manufacturer | LIL |
LCA Price | 0.5316 |
MAC Price | N/A |
Interchangeable Products | YES |
Coverage Status | REGULAR BENEFIT |
Details |