Home Health iDBL
Interactive Drug Benefit List
DIN/NPN/ PIN Generic Name Product Name, Strength & Dosage Form Unit Price, Unit of Issue Manufacturer LCA Price MAC Price Interchangeable Products Coverage Status
02316099 QUETIAPINE FUMARATE ACT QUETIAPINE 100 MG ORAL TABLET 0.1318
TAB 		TEV 0.1318 N/A YES REGULAR BENEFIT Details
02313928 QUETIAPINE FUMARATE APO-QUETIAPINE 100 MG ORAL TABLET 0.1318
TAB 		APX 0.1318 N/A YES REGULAR BENEFIT Details
02501643 QUETIAPINE FUMARATE APO-QUETIAPINE FUMARATE 100 MG ORAL TABLET 0.1318
TAB 		APX 0.1318 N/A YES REGULAR BENEFIT Details
02390213 QUETIAPINE FUMARATE AURO-QUETIAPINE 100 MG ORAL TABLET 0.1318
TAB 		AUR 0.1318 N/A YES REGULAR BENEFIT Details
02390159 QUETIAPINE FUMARATE JAMP QUETIAPINE FUMARATE 100 MG ORAL TABLET 0.1318
TAB 		JPC 0.1318 N/A YES REGULAR BENEFIT Details
02330423 QUETIAPINE FUMARATE JAMP-QUETIAPINE 100 MG ORAL TABLET 0.1318
TAB 		JPC 0.1318 N/A YES REGULAR BENEFIT Details
02399830 QUETIAPINE FUMARATE MAR-QUETIAPINE 100 MG ORAL TABLET 0.1318
TAB 		MAR 0.1318 N/A YES REGULAR BENEFIT Details
02438011 QUETIAPINE FUMARATE MINT-QUETIAPINE 100 MG ORAL TABLET 0.1318
TAB 		MPI 0.1318 N/A YES REGULAR BENEFIT Details
02439166 QUETIAPINE FUMARATE NAT-QUETIAPINE 100 MG ORAL TABLET 0.1318
TAB 		NTP 0.1318 N/A YES REGULAR BENEFIT Details
02296578 QUETIAPINE FUMARATE PMS-QUETIAPINE 100 MG ORAL TABLET 0.1318
TAB 		PMS 0.1318 N/A YES REGULAR BENEFIT Details
02317907 QUETIAPINE FUMARATE QUETIAPINE 100 MG ORAL TABLET 0.1318
TAB 		SIV 0.1318 N/A YES REGULAR BENEFIT Details
02387808 QUETIAPINE FUMARATE QUETIAPINE 100 MG ORAL TABLET 0.1318
TAB 		AHI 0.1318 N/A YES REGULAR BENEFIT Details
02353172 QUETIAPINE FUMARATE QUETIAPINE 100 MG ORAL TABLET 0.1318
TAB 		SNS 0.1318 N/A YES REGULAR BENEFIT Details
02236952 QUETIAPINE FUMARATE SEROQUEL 100 MG ORAL TABLET 1.4012
TAB 		AZC 0.1318 N/A YES REGULAR BENEFIT Details
02450879 QUETIAPINE FUMARATE ACH-QUETIAPINE FUMARATE XR 150 MG ORAL EXTENDED-RELEASE TABLET 0.4926
TAB 		AHI 0.4926 N/A YES REGULAR BENEFIT Details
02457237 QUETIAPINE FUMARATE APO-QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET 0.4926
TAB 		APX 0.4926 N/A YES REGULAR BENEFIT Details
02527936 QUETIAPINE FUMARATE M-QUETIAPINE FUMARATE XR 150 MG ORAL EXTENDED-RELEASE TABLET 0.4926
TAB 		MTR 0.4926 N/A YES REGULAR BENEFIT Details
02522195 QUETIAPINE FUMARATE MINT-QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET 0.4926
TAB 		MPI 0.4926 N/A YES REGULAR BENEFIT Details
02439174 QUETIAPINE FUMARATE NAT-QUETIAPINE 150 MG ORAL TABLET 1.0195
TAB 		NTP N/A N/A NO REGULAR BENEFIT Details
02510685 QUETIAPINE FUMARATE NRA-QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET 0.4926
TAB 		NRA 0.4926 N/A YES REGULAR BENEFIT Details
02516624 QUETIAPINE FUMARATE QUETIAPINE FUMARATE XR 150 MG ORAL EXTENDED-RELEASE TABLET 0.4926
TAB 		SNS 0.4926 N/A YES REGULAR BENEFIT Details
02417367 QUETIAPINE FUMARATE QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET 0.4926
TAB 		SIV 0.4926 N/A YES REGULAR BENEFIT Details
02519615 QUETIAPINE FUMARATE QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET 0.4926
TAB 		JPC 0.4926 N/A YES REGULAR BENEFIT Details
02407698 QUETIAPINE FUMARATE SANDOZ QUETIAPINE XRT 150 MG ORAL EXTENDED-RELEASE TABLET 0.4926
TAB 		SDZ 0.4926 N/A YES REGULAR BENEFIT Details
02321513 QUETIAPINE FUMARATE SEROQUEL XR 150 MG ORAL EXTENDED-RELEASE TABLET 2.1473
TAB 		AZC 0.4926 N/A YES REGULAR BENEFIT Details
02395452 QUETIAPINE FUMARATE TEVA-QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET 0.4926
TAB 		TEV 0.4926 N/A YES REGULAR BENEFIT Details
02450887 QUETIAPINE FUMARATE ACH-QUETIAPINE FUMARATE XR 200 MG ORAL EXTENDED-RELEASE TABLET 0.6661
TAB 		AHI 0.6661 N/A YES REGULAR BENEFIT Details
02316110 QUETIAPINE FUMARATE ACT QUETIAPINE 200 MG ORAL TABLET 0.2647
TAB 		TEV 0.2647 N/A YES REGULAR BENEFIT Details
02313936 QUETIAPINE FUMARATE APO-QUETIAPINE 200 MG ORAL TABLET 0.2647
TAB 		APX 0.2647 N/A YES REGULAR BENEFIT Details
02501651 QUETIAPINE FUMARATE APO-QUETIAPINE FUMARATE 200 MG ORAL TABLET 0.2647
TAB 		APX 0.2647 N/A YES REGULAR BENEFIT Details
02457245 QUETIAPINE FUMARATE APO-QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET 0.6661
TAB 		APX 0.6661 N/A YES REGULAR BENEFIT Details
02390248 QUETIAPINE FUMARATE AURO-QUETIAPINE 200 MG ORAL TABLET 0.2647
TAB 		AUR 0.2647 N/A YES REGULAR BENEFIT Details
02390167 QUETIAPINE FUMARATE JAMP QUETIAPINE FUMARATE 200 MG ORAL TABLET 0.2647
TAB 		JPC 0.2647 N/A YES REGULAR BENEFIT Details
02330458 QUETIAPINE FUMARATE JAMP-QUETIAPINE 200 MG ORAL TABLET 0.2647
TAB 		JPC 0.2647 N/A YES REGULAR BENEFIT Details
02527944 QUETIAPINE FUMARATE M-QUETIAPINE FUMARATE XR 200 MG ORAL EXTENDED-RELEASE TABLET 0.6661
TAB 		MTR 0.6661 N/A YES REGULAR BENEFIT Details
02399849 QUETIAPINE FUMARATE MAR-QUETIAPINE 200 MG ORAL TABLET 0.2647
TAB 		MAR 0.2647 N/A YES REGULAR BENEFIT Details
02438046 QUETIAPINE FUMARATE MINT-QUETIAPINE 200 MG ORAL TABLET 0.2647
TAB 		MPI 0.2647 N/A YES REGULAR BENEFIT Details
02522209 QUETIAPINE FUMARATE MINT-QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET 0.6661
TAB 		MPI 0.6661 N/A YES REGULAR BENEFIT Details
02439182 QUETIAPINE FUMARATE NAT-QUETIAPINE 200 MG ORAL TABLET 0.2647
TAB 		NTP 0.2647 N/A YES REGULAR BENEFIT Details
02510693 QUETIAPINE FUMARATE NRA-QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET 0.6661
TAB 		NRA 0.6661 N/A YES REGULAR BENEFIT Details
02296594 QUETIAPINE FUMARATE PMS-QUETIAPINE 200 MG ORAL TABLET 0.2647
TAB 		PMS 0.2647 N/A YES REGULAR BENEFIT Details
02317923 QUETIAPINE FUMARATE QUETIAPINE 200 MG ORAL TABLET 0.2647
TAB 		SIV 0.2647 N/A YES REGULAR BENEFIT Details
02387824 QUETIAPINE FUMARATE QUETIAPINE 200 MG ORAL TABLET 0.2647
TAB 		AHI 0.2647 N/A YES REGULAR BENEFIT Details
02353199 QUETIAPINE FUMARATE QUETIAPINE 200 MG ORAL TABLET 0.2647
TAB 		SNS 0.2647 N/A YES REGULAR BENEFIT Details
02516632 QUETIAPINE FUMARATE QUETIAPINE FUMARATE XR 200 MG ORAL EXTENDED-RELEASE TABLET 0.6661
TAB 		SNS 0.6661 N/A YES REGULAR BENEFIT Details
02417375 QUETIAPINE FUMARATE QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET 0.6661
TAB 		SIV 0.6661 N/A YES REGULAR BENEFIT Details
02519623 QUETIAPINE FUMARATE QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET 0.6661
TAB 		JPC 0.6661 N/A YES REGULAR BENEFIT Details
02407701 QUETIAPINE FUMARATE SANDOZ QUETIAPINE XRT 200 MG ORAL EXTENDED-RELEASE TABLET 0.6661
TAB 		SDZ 0.6661 N/A YES REGULAR BENEFIT Details
02236953 QUETIAPINE FUMARATE SEROQUEL 200 MG ORAL TABLET 2.8136
TAB 		AZC 0.2647 N/A YES REGULAR BENEFIT Details
02300192 QUETIAPINE FUMARATE SEROQUEL XR 200 MG ORAL EXTENDED-RELEASE TABLET 2.9035
TAB 		AZC 0.6661 N/A YES REGULAR BENEFIT Details
02395460 QUETIAPINE FUMARATE TEVA-QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET 0.6661
TAB 		TEV 0.6661 N/A YES REGULAR BENEFIT Details
02316080 QUETIAPINE FUMARATE ACT QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		TEV 0.0494 N/A YES REGULAR BENEFIT Details
02475979 QUETIAPINE FUMARATE AG-QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		AGP 0.0494 N/A YES REGULAR BENEFIT Details
02313901 QUETIAPINE FUMARATE APO-QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		APX 0.0494 N/A YES REGULAR BENEFIT Details
02501635 QUETIAPINE FUMARATE APO-QUETIAPINE FUMARATE 25 MG ORAL TABLET 0.0494
TAB 		APX 0.0494 N/A YES REGULAR BENEFIT Details
02390205 QUETIAPINE FUMARATE AURO-QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		AUR 0.0494 N/A YES REGULAR BENEFIT Details
02447193 QUETIAPINE FUMARATE BIO-QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		BMD 0.0494 N/A YES REGULAR BENEFIT Details
02390140 QUETIAPINE FUMARATE JAMP QUETIAPINE FUMARATE 25 MG ORAL TABLET 0.0494
TAB 		JPC 0.0494 N/A YES REGULAR BENEFIT Details
02330415 QUETIAPINE FUMARATE JAMP-QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		JPC 0.0494 N/A YES REGULAR BENEFIT Details
02399822 QUETIAPINE FUMARATE MAR-QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		MAR 0.0494 N/A YES REGULAR BENEFIT Details
02438003 QUETIAPINE FUMARATE MINT-QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		MPI 0.0494 N/A YES REGULAR BENEFIT Details
02439158 QUETIAPINE FUMARATE NAT-QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		NTP 0.0494 N/A YES REGULAR BENEFIT Details
02486237 QUETIAPINE FUMARATE NRA-QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		NRA 0.0494 N/A YES REGULAR BENEFIT Details
02296551 QUETIAPINE FUMARATE PMS-QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		PMS 0.0494 N/A YES REGULAR BENEFIT Details
02317893 QUETIAPINE FUMARATE QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		SIV 0.0494 N/A YES REGULAR BENEFIT Details
02353164 QUETIAPINE FUMARATE QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		SNS 0.0494 N/A YES REGULAR BENEFIT Details
02387794 QUETIAPINE FUMARATE QUETIAPINE 25 MG ORAL TABLET 0.0494
TAB 		AHI 0.0494 N/A YES REGULAR BENEFIT Details
02236951 QUETIAPINE FUMARATE SEROQUEL 25 MG ORAL TABLET 0.5252
TAB 		AZC 0.0494 N/A YES REGULAR BENEFIT Details
02450895 QUETIAPINE FUMARATE ACH-QUETIAPINE FUMARATE XR 300 MG ORAL EXTENDED-RELEASE TABLET 0.9776
TAB 		AHI 0.9776 N/A YES REGULAR BENEFIT Details
02316129 QUETIAPINE FUMARATE ACT QUETIAPINE 300 MG ORAL TABLET 0.3863
TAB 		TEV 0.3863 N/A YES REGULAR BENEFIT Details
02313944 QUETIAPINE FUMARATE APO-QUETIAPINE 300 MG ORAL TABLET 0.3863
TAB 		APX 0.3863 N/A YES REGULAR BENEFIT Details
02501678 QUETIAPINE FUMARATE APO-QUETIAPINE FUMARATE 300 MG ORAL TABLET 0.3863
TAB 		APX 0.3863 N/A YES REGULAR BENEFIT Details
02457253 QUETIAPINE FUMARATE APO-QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET 0.9776
TAB 		APX 0.9776 N/A YES REGULAR BENEFIT Details
02390256 QUETIAPINE FUMARATE AURO-QUETIAPINE 300 MG ORAL TABLET 0.3863
TAB 		AUR 0.3863 N/A YES REGULAR BENEFIT Details
02390175 QUETIAPINE FUMARATE JAMP QUETIAPINE FUMARATE 300 MG ORAL TABLET 0.3863
TAB 		JPC 0.3863 N/A YES REGULAR BENEFIT Details
02330466 QUETIAPINE FUMARATE JAMP-QUETIAPINE 300 MG ORAL TABLET 0.3863
TAB 		JPC 0.3863 N/A YES REGULAR BENEFIT Details
02527952 QUETIAPINE FUMARATE M-QUETIAPINE FUMARATE XR 300 MG ORAL EXTENDED-RELEASE TABLET 0.9776
TAB 		MTR 0.9776 N/A YES REGULAR BENEFIT Details
02399857 QUETIAPINE FUMARATE MAR-QUETIAPINE 300 MG ORAL TABLET 0.3863
TAB 		MAR 0.3863 N/A YES REGULAR BENEFIT Details
02438054 QUETIAPINE FUMARATE MINT-QUETIAPINE 300 MG ORAL TABLET 0.3863
TAB 		MPI 0.3863 N/A YES REGULAR BENEFIT Details
02522217 QUETIAPINE FUMARATE MINT-QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET 0.9776
TAB 		MPI 0.9776 N/A YES REGULAR BENEFIT Details
02439190 QUETIAPINE FUMARATE NAT-QUETIAPINE 300 MG ORAL TABLET 0.3863
TAB 		NTP 0.3863 N/A YES REGULAR BENEFIT Details
02510707 QUETIAPINE FUMARATE NRA-QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET 0.9776
TAB 		NRA 0.9776 N/A YES REGULAR BENEFIT Details
02296608 QUETIAPINE FUMARATE PMS-QUETIAPINE 300 MG ORAL TABLET 0.3863
TAB 		PMS 0.3863 N/A YES REGULAR BENEFIT Details
02317931 QUETIAPINE FUMARATE QUETIAPINE 300 MG ORAL TABLET 0.3863
TAB 		SIV 0.3863 N/A YES REGULAR BENEFIT Details
02387832 QUETIAPINE FUMARATE QUETIAPINE 300 MG ORAL TABLET 0.3863
TAB 		AHI 0.3863 N/A YES REGULAR BENEFIT Details
02353202 QUETIAPINE FUMARATE QUETIAPINE 300 MG ORAL TABLET 0.3863
TAB 		SNS 0.3863 N/A YES REGULAR BENEFIT Details
02516640 QUETIAPINE FUMARATE QUETIAPINE FUMARATE XR 300 MG ORAL EXTENDED-RELEASE TABLET 0.9776
TAB 		SNS 0.9776 N/A YES REGULAR BENEFIT Details
02417383 QUETIAPINE FUMARATE QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET 0.9776
TAB 		SIV 0.9776 N/A YES REGULAR BENEFIT Details
02519747 QUETIAPINE FUMARATE QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET 0.9776
TAB 		JPC 0.9776 N/A YES REGULAR BENEFIT Details
02407728 QUETIAPINE FUMARATE SANDOZ QUETIAPINE XRT 300 MG ORAL EXTENDED-RELEASE TABLET 0.9776
TAB 		SDZ 0.9776 N/A YES REGULAR BENEFIT Details
02244107 QUETIAPINE FUMARATE SEROQUEL 300 MG ORAL TABLET 4.1057
TAB 		AZC 0.3863 N/A YES REGULAR BENEFIT Details
02300206 QUETIAPINE FUMARATE SEROQUEL XR 300 MG ORAL EXTENDED-RELEASE TABLET 4.2617
TAB 		AZC 0.9776 N/A YES REGULAR BENEFIT Details
02395479 QUETIAPINE FUMARATE TEVA-QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET 0.9776
TAB 		TEV 0.9776 N/A YES REGULAR BENEFIT Details
02450909 QUETIAPINE FUMARATE ACH-QUETIAPINE FUMARATE XR 400 MG ORAL EXTENDED-RELEASE TABLET 1.3270
TAB 		AHI 1.3270 N/A YES REGULAR BENEFIT Details
02457261 QUETIAPINE FUMARATE APO-QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET 1.3270
TAB 		APX 1.3270 N/A YES REGULAR BENEFIT Details
02527960 QUETIAPINE FUMARATE M-QUETIAPINE FUMARATE XR 400 MG ORAL EXTENDED-RELEASE TABLET 1.3270
TAB 		MTR 1.3270 N/A YES REGULAR BENEFIT Details
02522225 QUETIAPINE FUMARATE MINT-QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET N/A
TAB 		MPI N/A N/A YES UNDER REVIEW Details
02510715 QUETIAPINE FUMARATE NRA-QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET 1.3270
TAB 		NRA 1.3270 N/A YES REGULAR BENEFIT Details
02516659 QUETIAPINE FUMARATE QUETIAPINE FUMARATE XR 400 MG ORAL EXTENDED-RELEASE TABLET 1.3270
TAB 		SNS 1.3270 N/A YES REGULAR BENEFIT Details
02417391 QUETIAPINE FUMARATE QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET 1.3270
TAB 		SIV 1.3270 N/A YES REGULAR BENEFIT Details
02519763 QUETIAPINE FUMARATE QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET 1.3270
TAB 		JPC 1.3270 N/A YES REGULAR BENEFIT Details
02407736 QUETIAPINE FUMARATE SANDOZ QUETIAPINE XRT 400 MG ORAL EXTENDED-RELEASE TABLET 1.3270
TAB 		SDZ 1.3270 N/A YES REGULAR BENEFIT Details
02300214 QUETIAPINE FUMARATE SEROQUEL XR 400 MG ORAL EXTENDED-RELEASE TABLET 5.7851
TAB 		AZC 1.3270 N/A YES REGULAR BENEFIT Details
02395487 QUETIAPINE FUMARATE TEVA-QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET 1.3270
TAB 		TEV 1.3270 N/A YES REGULAR BENEFIT Details
02450860 QUETIAPINE FUMARATE ACH-QUETIAPINE FUMARATE XR 50 MG ORAL EXTENDED-RELEASE TABLET 0.2501
TAB 		AHI 0.2501 N/A YES REGULAR BENEFIT Details
02457229 QUETIAPINE FUMARATE APO-QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET 0.2501
TAB 		APX 0.2501 N/A YES REGULAR BENEFIT Details
02527928 QUETIAPINE FUMARATE M-QUETIAPINE FUMARATE XR 50 MG ORAL EXTENDED-RELEASE TABLET 0.2501
TAB 		MTR 0.2501 N/A YES REGULAR BENEFIT Details
02522187 QUETIAPINE FUMARATE MINT-QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET 0.2501
TAB 		MPI 0.2501 N/A YES REGULAR BENEFIT Details
02510677 QUETIAPINE FUMARATE NRA-QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET 0.2501
TAB 		NRA 0.2501 N/A YES REGULAR BENEFIT Details
02361892 QUETIAPINE FUMARATE PMS-QUETIAPINE 50 MG ORAL TABLET 0.5778
TAB 		PMS N/A N/A NO REGULAR BENEFIT Details
02516616 QUETIAPINE FUMARATE QUETIAPINE FUMARATE XR 50 MG ORAL EXTENDED-RELEASE TABLET 0.2501
TAB 		SNS 0.2501 N/A YES REGULAR BENEFIT Details
02417359 QUETIAPINE FUMARATE QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET 0.2501
TAB 		SIV 0.2501 N/A YES REGULAR BENEFIT Details
02519607 QUETIAPINE FUMARATE QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET 0.2501
TAB 		JPC 0.2501 N/A YES REGULAR BENEFIT Details
02407671 QUETIAPINE FUMARATE SANDOZ QUETIAPINE XRT 50 MG ORAL EXTENDED-RELEASE TABLET 0.2501
TAB 		SDZ 0.2501 N/A YES REGULAR BENEFIT Details
02300184 QUETIAPINE FUMARATE SEROQUEL XR 50 MG ORAL EXTENDED-RELEASE TABLET 1.0902
TAB 		AZC 0.2501 N/A YES REGULAR BENEFIT Details
02395444 QUETIAPINE FUMARATE TEVA-QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET 0.2501
TAB 		TEV 0.2501 N/A YES REGULAR BENEFIT Details
DIN/NPN/ PIN 02316099
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form ACT QUETIAPINE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer TEV
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02313928
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer APX
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02501643
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE FUMARATE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer APX
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02390213
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form AURO-QUETIAPINE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer AUR
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02390159
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form JAMP QUETIAPINE FUMARATE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer JPC
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02330423
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form JAMP-QUETIAPINE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer JPC
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02399830
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MAR-QUETIAPINE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer MAR
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02438011
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MINT-QUETIAPINE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer MPI
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02439166
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form NAT-QUETIAPINE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer NTP
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02296578
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form PMS-QUETIAPINE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer PMS
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02317907
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer SIV
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02387808
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer AHI
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02353172
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 100 MG ORAL TABLET
Unit Price, Unit of Issue 0.1318
Manufacturer SNS
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02236952
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SEROQUEL 100 MG ORAL TABLET
Unit Price, Unit of Issue 1.4012
Manufacturer AZC
LCA Price 0.1318
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02450879
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form ACH-QUETIAPINE FUMARATE XR 150 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.4926
Manufacturer AHI
LCA Price 0.4926
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02457237
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.4926
Manufacturer APX
LCA Price 0.4926
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02527936
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form M-QUETIAPINE FUMARATE XR 150 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.4926
Manufacturer MTR
LCA Price 0.4926
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02522195
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MINT-QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.4926
Manufacturer MPI
LCA Price 0.4926
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02439174
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form NAT-QUETIAPINE 150 MG ORAL TABLET
Unit Price, Unit of Issue 1.0195
Manufacturer NTP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02510685
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form NRA-QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.4926
Manufacturer NRA
LCA Price 0.4926
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02516624
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE FUMARATE XR 150 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.4926
Manufacturer SNS
LCA Price 0.4926
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02417367
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.4926
Manufacturer SIV
LCA Price 0.4926
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02519615
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.4926
Manufacturer JPC
LCA Price 0.4926
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02407698
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SANDOZ QUETIAPINE XRT 150 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.4926
Manufacturer SDZ
LCA Price 0.4926
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02321513
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SEROQUEL XR 150 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 2.1473
Manufacturer AZC
LCA Price 0.4926
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02395452
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form TEVA-QUETIAPINE XR 150 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.4926
Manufacturer TEV
LCA Price 0.4926
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02450887
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form ACH-QUETIAPINE FUMARATE XR 200 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.6661
Manufacturer AHI
LCA Price 0.6661
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02316110
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form ACT QUETIAPINE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer TEV
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02313936
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer APX
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02501651
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE FUMARATE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer APX
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02457245
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.6661
Manufacturer APX
LCA Price 0.6661
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02390248
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form AURO-QUETIAPINE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer AUR
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02390167
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form JAMP QUETIAPINE FUMARATE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer JPC
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02330458
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form JAMP-QUETIAPINE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer JPC
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02527944
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form M-QUETIAPINE FUMARATE XR 200 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.6661
Manufacturer MTR
LCA Price 0.6661
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02399849
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MAR-QUETIAPINE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer MAR
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02438046
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MINT-QUETIAPINE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer MPI
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02522209
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MINT-QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.6661
Manufacturer MPI
LCA Price 0.6661
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02439182
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form NAT-QUETIAPINE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer NTP
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02510693
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form NRA-QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.6661
Manufacturer NRA
LCA Price 0.6661
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02296594
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form PMS-QUETIAPINE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer PMS
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02317923
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer SIV
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02387824
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer AHI
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02353199
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 200 MG ORAL TABLET
Unit Price, Unit of Issue 0.2647
Manufacturer SNS
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02516632
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE FUMARATE XR 200 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.6661
Manufacturer SNS
LCA Price 0.6661
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02417375
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.6661
Manufacturer SIV
LCA Price 0.6661
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02519623
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.6661
Manufacturer JPC
LCA Price 0.6661
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02407701
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SANDOZ QUETIAPINE XRT 200 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.6661
Manufacturer SDZ
LCA Price 0.6661
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02236953
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SEROQUEL 200 MG ORAL TABLET
Unit Price, Unit of Issue 2.8136
Manufacturer AZC
LCA Price 0.2647
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02300192
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SEROQUEL XR 200 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 2.9035
Manufacturer AZC
LCA Price 0.6661
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02395460
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form TEVA-QUETIAPINE XR 200 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.6661
Manufacturer TEV
LCA Price 0.6661
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02316080
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form ACT QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer TEV
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02475979
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form AG-QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer AGP
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02313901
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer APX
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02501635
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE FUMARATE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer APX
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02390205
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form AURO-QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer AUR
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02447193
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form BIO-QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer BMD
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02390140
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form JAMP QUETIAPINE FUMARATE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer JPC
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02330415
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form JAMP-QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer JPC
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02399822
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MAR-QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer MAR
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02438003
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MINT-QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer MPI
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02439158
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form NAT-QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer NTP
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02486237
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form NRA-QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer NRA
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02296551
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form PMS-QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer PMS
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02317893
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer SIV
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02353164
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer SNS
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02387794
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0494
Manufacturer AHI
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02236951
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SEROQUEL 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.5252
Manufacturer AZC
LCA Price 0.0494
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02450895
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form ACH-QUETIAPINE FUMARATE XR 300 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.9776
Manufacturer AHI
LCA Price 0.9776
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02316129
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form ACT QUETIAPINE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer TEV
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02313944
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer APX
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02501678
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE FUMARATE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer APX
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02457253
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.9776
Manufacturer APX
LCA Price 0.9776
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02390256
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form AURO-QUETIAPINE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer AUR
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02390175
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form JAMP QUETIAPINE FUMARATE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer JPC
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02330466
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form JAMP-QUETIAPINE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer JPC
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02527952
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form M-QUETIAPINE FUMARATE XR 300 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.9776
Manufacturer MTR
LCA Price 0.9776
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02399857
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MAR-QUETIAPINE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer MAR
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02438054
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MINT-QUETIAPINE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer MPI
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02522217
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MINT-QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.9776
Manufacturer MPI
LCA Price 0.9776
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02439190
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form NAT-QUETIAPINE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer NTP
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02510707
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form NRA-QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.9776
Manufacturer NRA
LCA Price 0.9776
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02296608
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form PMS-QUETIAPINE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer PMS
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02317931
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer SIV
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02387832
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer AHI
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02353202
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE 300 MG ORAL TABLET
Unit Price, Unit of Issue 0.3863
Manufacturer SNS
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02516640
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE FUMARATE XR 300 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.9776
Manufacturer SNS
LCA Price 0.9776
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02417383
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.9776
Manufacturer SIV
LCA Price 0.9776
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02519747
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.9776
Manufacturer JPC
LCA Price 0.9776
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02407728
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SANDOZ QUETIAPINE XRT 300 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.9776
Manufacturer SDZ
LCA Price 0.9776
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02244107
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SEROQUEL 300 MG ORAL TABLET
Unit Price, Unit of Issue 4.1057
Manufacturer AZC
LCA Price 0.3863
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02300206
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SEROQUEL XR 300 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 4.2617
Manufacturer AZC
LCA Price 0.9776
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02395479
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form TEVA-QUETIAPINE XR 300 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.9776
Manufacturer TEV
LCA Price 0.9776
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02450909
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form ACH-QUETIAPINE FUMARATE XR 400 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 1.3270
Manufacturer AHI
LCA Price 1.3270
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02457261
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 1.3270
Manufacturer APX
LCA Price 1.3270
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02527960
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form M-QUETIAPINE FUMARATE XR 400 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 1.3270
Manufacturer MTR
LCA Price 1.3270
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02522225
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MINT-QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue N/A
Manufacturer MPI
LCA Price N/A
MAC Price N/A
Interchangeable Products YES
Coverage Status UNDER REVIEW
Details
DIN/NPN/ PIN 02510715
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form NRA-QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 1.3270
Manufacturer NRA
LCA Price 1.3270
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02516659
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE FUMARATE XR 400 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 1.3270
Manufacturer SNS
LCA Price 1.3270
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02417391
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 1.3270
Manufacturer SIV
LCA Price 1.3270
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02519763
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 1.3270
Manufacturer JPC
LCA Price 1.3270
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02407736
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SANDOZ QUETIAPINE XRT 400 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 1.3270
Manufacturer SDZ
LCA Price 1.3270
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02300214
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SEROQUEL XR 400 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 5.7851
Manufacturer AZC
LCA Price 1.3270
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02395487
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form TEVA-QUETIAPINE XR 400 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 1.3270
Manufacturer TEV
LCA Price 1.3270
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02450860
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form ACH-QUETIAPINE FUMARATE XR 50 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.2501
Manufacturer AHI
LCA Price 0.2501
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02457229
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form APO-QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.2501
Manufacturer APX
LCA Price 0.2501
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02527928
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form M-QUETIAPINE FUMARATE XR 50 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.2501
Manufacturer MTR
LCA Price 0.2501
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02522187
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form MINT-QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.2501
Manufacturer MPI
LCA Price 0.2501
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02510677
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form NRA-QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.2501
Manufacturer NRA
LCA Price 0.2501
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02361892
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form PMS-QUETIAPINE 50 MG ORAL TABLET
Unit Price, Unit of Issue 0.5778
Manufacturer PMS
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02516616
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE FUMARATE XR 50 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.2501
Manufacturer SNS
LCA Price 0.2501
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02417359
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.2501
Manufacturer SIV
LCA Price 0.2501
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02519607
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.2501
Manufacturer JPC
LCA Price 0.2501
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02407671
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SANDOZ QUETIAPINE XRT 50 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.2501
Manufacturer SDZ
LCA Price 0.2501
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02300184
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form SEROQUEL XR 50 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 1.0902
Manufacturer AZC
LCA Price 0.2501
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02395444
Generic Name QUETIAPINE FUMARATE
Product Name, Strength & Dosage Form TEVA-QUETIAPINE XR 50 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue 0.2501
Manufacturer TEV
LCA Price 0.2501
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
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Last Updated: 2024-05-19
NOTICE:
The DBL, DBS and related publications require knowledgeable interpretation and are intended primarily for professional health care practitioners, pharmacies, hospitals and organizations associated with the manufacture, distribution and use of pharmaceutical preparations.
Electronic versions of all DBL and DBS related publications are unofficial versions and are provided for convenience and private use only. Official paper versions can be obtained from Alberta Blue Cross who publishes them on behalf of Alberta Health and Alberta Human Services.
Alberta Health reserves the right to make changes, without notice, to the List through the Interactive DBL(iDBL), and any such changes to the Interactive DBL(iDBL) are effective the date of the change (unless otherwise stated) and regardless of the date of publication in the paper version or updates.