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
02282119 RISPERIDONE APO-RISPERIDONE 0.25 MG ORAL TABLET 0.0878
TAB 		APX 0.0878 N/A YES REGULAR BENEFIT Details
02359529 RISPERIDONE JAMP-RISPERIDONE 0.25 MG ORAL TABLET 0.0878
TAB 		JPC 0.0878 N/A YES REGULAR BENEFIT Details
02371766 RISPERIDONE MAR-RISPERIDONE 0.25 MG ORAL TABLET 0.0878
TAB 		MAR 0.0878 N/A YES REGULAR BENEFIT Details
02359790 RISPERIDONE MINT-RISPERIDONE 0.25 MG ORAL TABLET 0.0878
TAB 		MPI 0.0878 N/A YES REGULAR BENEFIT Details
02252007 RISPERIDONE PMS-RISPERIDONE 0.25 MG ORAL TABLET 0.0878
TAB 		PMS 0.0878 N/A YES REGULAR BENEFIT Details
02328305 RISPERIDONE RAN-RISPERIDONE 0.25 MG ORAL TABLET 0.0878
TAB 		RAN 0.0878 N/A YES REGULAR BENEFIT Details
02356880 RISPERIDONE RISPERIDONE 0.25 MG ORAL TABLET 0.0878
TAB 		SNS 0.0878 N/A YES REGULAR BENEFIT Details
02533804 RISPERIDONE RISPERIDONE 0.25 MG ORAL TABLET 0.0878
TAB 		SIV 0.0878 N/A YES REGULAR BENEFIT Details
02303655 RISPERIDONE SANDOZ RISPERIDONE 0.25 MG ORAL TABLET 0.0878
TAB 		SDZ 0.0878 N/A YES REGULAR BENEFIT Details
02282690 RISPERIDONE TEVA-RISPERIDONE 0.25 MG ORAL TABLET 0.0878
TAB 		TEV 0.0878 N/A YES REGULAR BENEFIT Details
02282127 RISPERIDONE APO-RISPERIDONE 0.5 MG ORAL TABLET 0.1470
TAB 		APX 0.1470 N/A YES REGULAR BENEFIT Details
02359537 RISPERIDONE JAMP-RISPERIDONE 0.5 MG ORAL TABLET 0.1470
TAB 		JPC 0.1470 N/A YES REGULAR BENEFIT Details
02371774 RISPERIDONE MAR-RISPERIDONE 0.5 MG ORAL TABLET 0.1470
TAB 		MAR 0.1470 N/A YES REGULAR BENEFIT Details
02359804 RISPERIDONE MINT-RISPERIDONE 0.5 MG ORAL TABLET 0.1470
TAB 		MPI 0.1470 N/A YES REGULAR BENEFIT Details
02252015 RISPERIDONE PMS-RISPERIDONE 0.5 MG ORAL TABLET 0.1470
TAB 		PMS 0.1470 N/A YES REGULAR BENEFIT Details
02328313 RISPERIDONE RAN-RISPERIDONE 0.5 MG ORAL TABLET 0.1470
TAB 		RAN 0.1470 N/A YES REGULAR BENEFIT Details
02356899 RISPERIDONE RISPERIDONE 0.5 MG ORAL TABLET 0.1470
TAB 		SNS 0.1470 N/A YES REGULAR BENEFIT Details
02533928 RISPERIDONE RISPERIDONE 0.5 MG ORAL TABLET 0.1470
TAB 		SIV 0.1470 N/A YES REGULAR BENEFIT Details
02303663 RISPERIDONE SANDOZ RISPERIDONE 0.5 MG ORAL TABLET 0.1470
TAB 		SDZ 0.1470 N/A YES REGULAR BENEFIT Details
02264188 RISPERIDONE TEVA-RISPERIDONE 0.5 MG ORAL TABLET 0.1470
TAB 		TEV 0.1470 N/A YES REGULAR BENEFIT Details
02282135 RISPERIDONE APO-RISPERIDONE 1 MG ORAL TABLET 0.2031
TAB 		APX 0.2031 N/A YES REGULAR BENEFIT Details
02359545 RISPERIDONE JAMP-RISPERIDONE 1 MG ORAL TABLET 0.2031
TAB 		JPC 0.2031 N/A YES REGULAR BENEFIT Details
02371782 RISPERIDONE MAR-RISPERIDONE 1 MG ORAL TABLET 0.2031
TAB 		MAR 0.2031 N/A YES REGULAR BENEFIT Details
02359812 RISPERIDONE MINT-RISPERIDON 1 MG ORAL TABLET 0.2031
TAB 		MPI 0.2031 N/A YES REGULAR BENEFIT Details
02252023 RISPERIDONE PMS-RISPERIDONE 1 MG ORAL TABLET 0.2031
TAB 		PMS 0.2031 N/A YES REGULAR BENEFIT Details
02328321 RISPERIDONE RAN-RISPERIDONE 1 MG ORAL TABLET 0.2031
TAB 		RAN 0.2031 N/A YES REGULAR BENEFIT Details
02356902 RISPERIDONE RISPERIDONE 1 MG ORAL TABLET 0.2031
TAB 		SNS 0.2031 N/A YES REGULAR BENEFIT Details
02533936 RISPERIDONE RISPERIDONE 1 MG ORAL TABLET 0.2031
TAB 		SIV 0.2031 N/A YES REGULAR BENEFIT Details
02279800 RISPERIDONE SANDOZ RISPERIDONE 1 MG ORAL TABLET 0.2031
TAB 		SDZ 0.2031 N/A YES REGULAR BENEFIT Details
02264196 RISPERIDONE TEVA-RISPERIDONE 1 MG ORAL TABLET 0.2031
TAB 		TEV 0.2031 N/A YES REGULAR BENEFIT Details
02282143 RISPERIDONE APO-RISPERIDONE 2 MG ORAL TABLET 0.4062
TAB 		APX 0.4062 N/A YES REGULAR BENEFIT Details
02359553 RISPERIDONE JAMP-RISPERIDONE 2 MG ORAL TABLET 0.4062
TAB 		JPC 0.4062 N/A YES REGULAR BENEFIT Details
02371790 RISPERIDONE MAR-RISPERIDONE 2 MG ORAL TABLET 0.4062
TAB 		MAR 0.4062 N/A YES REGULAR BENEFIT Details
02359820 RISPERIDONE MINT-RISPERIDON 2 MG ORAL TABLET 0.4062
TAB 		MPI 0.4062 N/A YES REGULAR BENEFIT Details
02252031 RISPERIDONE PMS-RISPERIDONE 2 MG ORAL TABLET 0.4062
TAB 		PMS 0.4062 N/A YES REGULAR BENEFIT Details
02328348 RISPERIDONE RAN-RISPERIDONE 2 MG ORAL TABLET 0.4062
TAB 		RAN 0.4062 N/A YES REGULAR BENEFIT Details
02356910 RISPERIDONE RISPERIDONE 2 MG ORAL TABLET 0.4062
TAB 		SNS 0.4062 N/A YES REGULAR BENEFIT Details
02533944 RISPERIDONE RISPERIDONE 2 MG ORAL TABLET 0.4062
TAB 		SIV 0.4062 N/A YES REGULAR BENEFIT Details
02279819 RISPERIDONE SANDOZ RISPERIDONE 2 MG ORAL TABLET 0.4062
TAB 		SDZ 0.4062 N/A YES REGULAR BENEFIT Details
02264218 RISPERIDONE TEVA-RISPERIDONE 2 MG ORAL TABLET 0.4062
TAB 		TEV 0.4062 N/A YES REGULAR BENEFIT Details
02255707 RISPERIDONE RISPERDAL CONSTA 25 MG / VIAL INJECTION 187.1200
VIAL 		JAI N/A N/A NO SPECIAL AUTHORIZATION Details
02282151 RISPERIDONE APO-RISPERIDONE 3 MG ORAL TABLET 0.6083
TAB 		APX 0.6083 N/A YES REGULAR BENEFIT Details
02359561 RISPERIDONE JAMP-RISPERIDONE 3 MG ORAL TABLET 0.6083
TAB 		JPC 0.6083 N/A YES REGULAR BENEFIT Details
02371804 RISPERIDONE MAR-RISPERIDONE 3 MG ORAL TABLET 0.6083
TAB 		MAR 0.6083 N/A YES REGULAR BENEFIT Details
02359839 RISPERIDONE MINT-RISPERIDON 3 MG ORAL TABLET 0.6083
TAB 		MPI 0.6083 N/A YES REGULAR BENEFIT Details
02252058 RISPERIDONE PMS-RISPERIDONE 3 MG ORAL TABLET 0.6083
TAB 		PMS 0.6083 N/A YES REGULAR BENEFIT Details
02328364 RISPERIDONE RAN-RISPERIDONE 3 MG ORAL TABLET 0.6083
TAB 		RAN 0.6083 N/A YES REGULAR BENEFIT Details
02356929 RISPERIDONE RISPERIDONE 3 MG ORAL TABLET 0.6083
TAB 		SNS 0.6083 N/A YES REGULAR BENEFIT Details
02533952 RISPERIDONE RISPERIDONE 3 MG ORAL TABLET 0.6083
TAB 		SIV 0.6083 N/A YES REGULAR BENEFIT Details
02279827 RISPERIDONE SANDOZ RISPERIDONE 3 MG ORAL TABLET 0.6083
TAB 		SDZ 0.6083 N/A YES REGULAR BENEFIT Details
02264226 RISPERIDONE TEVA-RISPERIDONE 3 MG ORAL TABLET 0.6083
TAB 		TEV 0.6083 N/A YES REGULAR BENEFIT Details
02255723 RISPERIDONE RISPERDAL CONSTA 37.5 MG / VIAL INJECTION 280.6700
VIAL 		JAI N/A N/A NO SPECIAL AUTHORIZATION Details
02282178 RISPERIDONE APO-RISPERIDONE 4 MG ORAL TABLET 0.8111
TAB 		APX 0.8111 N/A YES REGULAR BENEFIT Details
02359588 RISPERIDONE JAMP-RISPERIDONE 4 MG ORAL TABLET 0.8111
TAB 		JPC 0.8111 N/A YES REGULAR BENEFIT Details
02371812 RISPERIDONE MAR-RISPERIDONE 4 MG ORAL TABLET 0.8111
TAB 		MAR 0.8111 N/A YES REGULAR BENEFIT Details
02359847 RISPERIDONE MINT-RISPERIDON 4 MG ORAL TABLET 0.8111
TAB 		MPI 0.8111 N/A YES REGULAR BENEFIT Details
02252066 RISPERIDONE PMS-RISPERIDONE 4 MG ORAL TABLET 0.8111
TAB 		PMS 0.8111 N/A YES REGULAR BENEFIT Details
02328372 RISPERIDONE RAN-RISPERIDONE 4 MG ORAL TABLET 0.8111
TAB 		RAN 0.8111 N/A YES REGULAR BENEFIT Details
02356937 RISPERIDONE RISPERIDONE 4 MG ORAL TABLET 0.8111
TAB 		SNS 0.8111 N/A YES REGULAR BENEFIT Details
02533960 RISPERIDONE RISPERIDONE 4 MG ORAL TABLET 0.8111
TAB 		SIV 0.8111 N/A YES REGULAR BENEFIT Details
02279835 RISPERIDONE SANDOZ RISPERIDONE 4 MG ORAL TABLET 0.8111
TAB 		SDZ 0.8111 N/A YES REGULAR BENEFIT Details
02264234 RISPERIDONE TEVA-RISPERIDONE 4 MG ORAL TABLET 0.8111
TAB 		TEV 0.8111 N/A YES REGULAR BENEFIT Details
02255758 RISPERIDONE RISPERDAL CONSTA 50 MG / VIAL INJECTION 374.2200
VIAL 		JAI N/A N/A NO SPECIAL AUTHORIZATION Details
02454319 RISPERIDONE TARTRATE JAMP-RISPERIDONE 1 MG / ML ORAL SOLUTION 0.7080
ML 		JPC 0.7080 N/A YES RESTRICTED BENEFIT Details
02279266 RISPERIDONE TARTRATE PMS-RISPERIDONE 1 MG / ML ORAL SOLUTION 0.7080
ML 		PMS 0.7080 N/A YES RESTRICTED BENEFIT Details
DIN/NPN/ PIN 02282119
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form APO-RISPERIDONE 0.25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0878
Manufacturer APX
LCA Price 0.0878
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359529
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form JAMP-RISPERIDONE 0.25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0878
Manufacturer JPC
LCA Price 0.0878
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02371766
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MAR-RISPERIDONE 0.25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0878
Manufacturer MAR
LCA Price 0.0878
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359790
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MINT-RISPERIDONE 0.25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0878
Manufacturer MPI
LCA Price 0.0878
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02252007
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form PMS-RISPERIDONE 0.25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0878
Manufacturer PMS
LCA Price 0.0878
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02328305
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RAN-RISPERIDONE 0.25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0878
Manufacturer RAN
LCA Price 0.0878
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02356880
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 0.25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0878
Manufacturer SNS
LCA Price 0.0878
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02533804
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 0.25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0878
Manufacturer SIV
LCA Price 0.0878
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02303655
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form SANDOZ RISPERIDONE 0.25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0878
Manufacturer SDZ
LCA Price 0.0878
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02282690
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form TEVA-RISPERIDONE 0.25 MG ORAL TABLET
Unit Price, Unit of Issue 0.0878
Manufacturer TEV
LCA Price 0.0878
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02282127
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form APO-RISPERIDONE 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 0.1470
Manufacturer APX
LCA Price 0.1470
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359537
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form JAMP-RISPERIDONE 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 0.1470
Manufacturer JPC
LCA Price 0.1470
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02371774
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MAR-RISPERIDONE 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 0.1470
Manufacturer MAR
LCA Price 0.1470
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359804
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MINT-RISPERIDONE 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 0.1470
Manufacturer MPI
LCA Price 0.1470
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02252015
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form PMS-RISPERIDONE 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 0.1470
Manufacturer PMS
LCA Price 0.1470
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02328313
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RAN-RISPERIDONE 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 0.1470
Manufacturer RAN
LCA Price 0.1470
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02356899
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 0.1470
Manufacturer SNS
LCA Price 0.1470
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02533928
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 0.1470
Manufacturer SIV
LCA Price 0.1470
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02303663
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form SANDOZ RISPERIDONE 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 0.1470
Manufacturer SDZ
LCA Price 0.1470
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02264188
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form TEVA-RISPERIDONE 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 0.1470
Manufacturer TEV
LCA Price 0.1470
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02282135
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form APO-RISPERIDONE 1 MG ORAL TABLET
Unit Price, Unit of Issue 0.2031
Manufacturer APX
LCA Price 0.2031
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359545
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form JAMP-RISPERIDONE 1 MG ORAL TABLET
Unit Price, Unit of Issue 0.2031
Manufacturer JPC
LCA Price 0.2031
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02371782
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MAR-RISPERIDONE 1 MG ORAL TABLET
Unit Price, Unit of Issue 0.2031
Manufacturer MAR
LCA Price 0.2031
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359812
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MINT-RISPERIDON 1 MG ORAL TABLET
Unit Price, Unit of Issue 0.2031
Manufacturer MPI
LCA Price 0.2031
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02252023
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form PMS-RISPERIDONE 1 MG ORAL TABLET
Unit Price, Unit of Issue 0.2031
Manufacturer PMS
LCA Price 0.2031
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02328321
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RAN-RISPERIDONE 1 MG ORAL TABLET
Unit Price, Unit of Issue 0.2031
Manufacturer RAN
LCA Price 0.2031
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02356902
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 1 MG ORAL TABLET
Unit Price, Unit of Issue 0.2031
Manufacturer SNS
LCA Price 0.2031
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02533936
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 1 MG ORAL TABLET
Unit Price, Unit of Issue 0.2031
Manufacturer SIV
LCA Price 0.2031
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02279800
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form SANDOZ RISPERIDONE 1 MG ORAL TABLET
Unit Price, Unit of Issue 0.2031
Manufacturer SDZ
LCA Price 0.2031
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02264196
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form TEVA-RISPERIDONE 1 MG ORAL TABLET
Unit Price, Unit of Issue 0.2031
Manufacturer TEV
LCA Price 0.2031
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02282143
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form APO-RISPERIDONE 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.4062
Manufacturer APX
LCA Price 0.4062
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359553
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form JAMP-RISPERIDONE 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.4062
Manufacturer JPC
LCA Price 0.4062
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02371790
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MAR-RISPERIDONE 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.4062
Manufacturer MAR
LCA Price 0.4062
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359820
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MINT-RISPERIDON 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.4062
Manufacturer MPI
LCA Price 0.4062
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02252031
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form PMS-RISPERIDONE 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.4062
Manufacturer PMS
LCA Price 0.4062
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02328348
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RAN-RISPERIDONE 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.4062
Manufacturer RAN
LCA Price 0.4062
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02356910
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.4062
Manufacturer SNS
LCA Price 0.4062
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02533944
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.4062
Manufacturer SIV
LCA Price 0.4062
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02279819
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form SANDOZ RISPERIDONE 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.4062
Manufacturer SDZ
LCA Price 0.4062
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02264218
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form TEVA-RISPERIDONE 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.4062
Manufacturer TEV
LCA Price 0.4062
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02255707
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERDAL CONSTA 25 MG / VIAL INJECTION
Unit Price, Unit of Issue 187.1200
Manufacturer JAI
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN 02282151
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form APO-RISPERIDONE 3 MG ORAL TABLET
Unit Price, Unit of Issue 0.6083
Manufacturer APX
LCA Price 0.6083
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359561
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form JAMP-RISPERIDONE 3 MG ORAL TABLET
Unit Price, Unit of Issue 0.6083
Manufacturer JPC
LCA Price 0.6083
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02371804
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MAR-RISPERIDONE 3 MG ORAL TABLET
Unit Price, Unit of Issue 0.6083
Manufacturer MAR
LCA Price 0.6083
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359839
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MINT-RISPERIDON 3 MG ORAL TABLET
Unit Price, Unit of Issue 0.6083
Manufacturer MPI
LCA Price 0.6083
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02252058
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form PMS-RISPERIDONE 3 MG ORAL TABLET
Unit Price, Unit of Issue 0.6083
Manufacturer PMS
LCA Price 0.6083
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02328364
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RAN-RISPERIDONE 3 MG ORAL TABLET
Unit Price, Unit of Issue 0.6083
Manufacturer RAN
LCA Price 0.6083
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02356929
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 3 MG ORAL TABLET
Unit Price, Unit of Issue 0.6083
Manufacturer SNS
LCA Price 0.6083
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02533952
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 3 MG ORAL TABLET
Unit Price, Unit of Issue 0.6083
Manufacturer SIV
LCA Price 0.6083
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02279827
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form SANDOZ RISPERIDONE 3 MG ORAL TABLET
Unit Price, Unit of Issue 0.6083
Manufacturer SDZ
LCA Price 0.6083
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02264226
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form TEVA-RISPERIDONE 3 MG ORAL TABLET
Unit Price, Unit of Issue 0.6083
Manufacturer TEV
LCA Price 0.6083
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02255723
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERDAL CONSTA 37.5 MG / VIAL INJECTION
Unit Price, Unit of Issue 280.6700
Manufacturer JAI
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN 02282178
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form APO-RISPERIDONE 4 MG ORAL TABLET
Unit Price, Unit of Issue 0.8111
Manufacturer APX
LCA Price 0.8111
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359588
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form JAMP-RISPERIDONE 4 MG ORAL TABLET
Unit Price, Unit of Issue 0.8111
Manufacturer JPC
LCA Price 0.8111
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02371812
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MAR-RISPERIDONE 4 MG ORAL TABLET
Unit Price, Unit of Issue 0.8111
Manufacturer MAR
LCA Price 0.8111
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02359847
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form MINT-RISPERIDON 4 MG ORAL TABLET
Unit Price, Unit of Issue 0.8111
Manufacturer MPI
LCA Price 0.8111
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02252066
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form PMS-RISPERIDONE 4 MG ORAL TABLET
Unit Price, Unit of Issue 0.8111
Manufacturer PMS
LCA Price 0.8111
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02328372
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RAN-RISPERIDONE 4 MG ORAL TABLET
Unit Price, Unit of Issue 0.8111
Manufacturer RAN
LCA Price 0.8111
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02356937
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 4 MG ORAL TABLET
Unit Price, Unit of Issue 0.8111
Manufacturer SNS
LCA Price 0.8111
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02533960
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERIDONE 4 MG ORAL TABLET
Unit Price, Unit of Issue 0.8111
Manufacturer SIV
LCA Price 0.8111
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02279835
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form SANDOZ RISPERIDONE 4 MG ORAL TABLET
Unit Price, Unit of Issue 0.8111
Manufacturer SDZ
LCA Price 0.8111
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02264234
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form TEVA-RISPERIDONE 4 MG ORAL TABLET
Unit Price, Unit of Issue 0.8111
Manufacturer TEV
LCA Price 0.8111
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02255758
Generic Name RISPERIDONE
Product Name, Strength & Dosage Form RISPERDAL CONSTA 50 MG / VIAL INJECTION
Unit Price, Unit of Issue 374.2200
Manufacturer JAI
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN 02454319
Generic Name RISPERIDONE TARTRATE
Product Name, Strength & Dosage Form JAMP-RISPERIDONE 1 MG / ML ORAL SOLUTION
Unit Price, Unit of Issue 0.7080
Manufacturer JPC
LCA Price 0.7080
MAC Price N/A
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 02279266
Generic Name RISPERIDONE TARTRATE
Product Name, Strength & Dosage Form PMS-RISPERIDONE 1 MG / ML ORAL SOLUTION
Unit Price, Unit of Issue 0.7080
Manufacturer PMS
LCA Price 0.7080
MAC Price N/A
Interchangeable Products YES
Coverage Status RESTRICTED 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.