PTC 282408

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Products Found: 59

MFR

Review Status/
Past Decision(s)

ALPRAZOLAM
ALPRAZOLAM
0.25 MG
ORL  TAB
0.0609
0.0609
TAB
YES

REGULAR BENEFIT

ALPRAZOLAM
APO-ALPRAZ
0.25 MG
ORL  TAB
0.0609
0.0609
TAB
YES

REGULAR BENEFIT

 

ALPRAZOLAM
JAMP-ALPRAZOLAM
0.25 MG
ORL  TAB
0.0609
0.0609
TAB
YES

REGULAR BENEFIT

ALPRAZOLAM
TEVA-ALPRAZOL
0.25 MG
ORL  TAB
0.0609
0.0609
TAB
YES

REGULAR BENEFIT

 

ALPRAZOLAM
ALPRAZOLAM
0.5 MG
ORL  TAB
0.0728
0.0728
TAB
YES

REGULAR BENEFIT

ALPRAZOLAM
APO-ALPRAZ
0.5 MG
ORL  TAB
0.0728
0.0728
TAB
YES

REGULAR BENEFIT

 

ALPRAZOLAM
JAMP-ALPRAZOLAM
0.5 MG
ORL  TAB
0.0728
0.0728
TAB
YES

REGULAR BENEFIT

ALPRAZOLAM
TEVA-ALPRAZOL
0.5 MG
ORL  TAB
0.0728
0.0728
TAB
YES

REGULAR BENEFIT

 

02243611
ALPRAZOLAM
APO-ALPRAZ
1 MG
ORL  TAB
N/A
N/A
TAB
NO

NOT A BENEFIT *

 

02243612
ALPRAZOLAM
APO-ALPRAZ TS
2 MG
ORL  TAB
N/A
N/A
TAB
NO

NOT A BENEFIT *

 

BROMAZEPAM
APO-BROMAZEPAM
1.5 MG
ORL  TAB
0.1028
N/A
TAB
NO

REGULAR BENEFIT

 

BROMAZEPAM
APO-BROMAZEPAM
3 MG
ORL  TAB
0.0776
0.0776
TAB
YES

REGULAR BENEFIT

 

BROMAZEPAM
TEVA-BROMAZEPAM
3 MG
ORL  TAB
0.0776
0.0776
TAB
YES

REGULAR BENEFIT

 

BROMAZEPAM
APO-BROMAZEPAM
6 MG
ORL  TAB
0.1134
0.1134
TAB
YES

REGULAR BENEFIT

 

BROMAZEPAM
TEVA-BROMAZEPAM
6 MG
ORL  TAB
0.1134
0.1134
TAB
YES

REGULAR BENEFIT

 

CHLORDIAZEPOXIDE HCL
CHLORDIAZEPOXIDE
10 MG
ORL  CAP
0.1141
N/A
CAP
NO

REGULAR BENEFIT

 

CHLORDIAZEPOXIDE HCL
CHLORDIAZEPOXIDE
25 MG
ORL  CAP
0.1769
N/A
CAP
NO

REGULAR BENEFIT

 

CHLORDIAZEPOXIDE HCL
CHLORDIAZEPOXIDE
5 MG
ORL  CAP
0.0725
N/A
CAP
NO

REGULAR BENEFIT

 

CHLORDIAZEPOXIDE HCL/ CLIDINIUM BROMIDE
CHLORAX
5 MG * 2.5 MG
ORL  CAP
0.2451
0.2451
CAP
YES

REGULAR BENEFIT

 

CHLORDIAZEPOXIDE HCL/ CLIDINIUM BROMIDE
LIBRAX
5 MG * 2.5 MG
ORL  CAP
0.3405
0.2451
CAP
YES

REGULAR BENEFIT

 

CLORAZEPATE DIPOTASSIUM
CLORAZEPATE
15 MG
ORL  CAP
0.4112
N/A
CAP
NO

REGULAR BENEFIT

 

CLORAZEPATE DIPOTASSIUM
CLORAZEPATE
3.75 MG
ORL  CAP
0.1575
N/A
CAP
NO

REGULAR BENEFIT

 

CLORAZEPATE DIPOTASSIUM
CLORAZEPATE
7.5 MG
ORL  CAP
0.2054
N/A
CAP
NO

REGULAR BENEFIT

 

DIAZEPAM
DIAZEPAM
10 MG
ORL  TAB
0.0867
N/A
TAB
NO

REGULAR BENEFIT

 

DIAZEPAM
DIAZEPAM
2 MG
ORL  TAB
0.0532
N/A
TAB
NO

REGULAR BENEFIT

 

02238162
DIAZEPAM
DIASTAT RECTAL DELIVERY
5 MG
RT  GEL
N/A
N/A
SYS
NO

NOT A BENEFIT *

 

DIAZEPAM
DIAZEPAM
5 MG
ORL  TAB
0.0650
N/A
TAB
NO

REGULAR BENEFIT

 

DIAZEPAM
DIAZEPAM
5 MG / ML
INJ 
1.6745
N/A
ML
NO

REGULAR BENEFIT

 

FLURAZEPAM HCL
FLURAZEPAM
15 MG
ORL  CAP
0.1219
N/A
CAP
NO

REGULAR BENEFIT

 

FLURAZEPAM HCL
FLURAZEPAM
30 MG
ORL  CAP
0.1426
N/A
CAP
NO

REGULAR BENEFIT

 

LORAZEPAM
APO-LORAZEPAM
0.5 MG
ORL  TAB
0.0359
0.0359
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
ATIVAN
0.5 MG
ORL  SLT
0.1218
0.0875
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
ATIVAN
0.5 MG
ORL  TAB
0.0401
0.0359
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
LORAZEPAM
0.5 MG
ORL  SLT
0.0875
0.0875
TAB
YES

REGULAR BENEFIT

LORAZEPAM
PMS-LORAZEPAM
0.5 MG
ORL  TAB
0.0359
0.0359
TAB
YES

REGULAR BENEFIT

LORAZEPAM
TEVA-LORAZEPAM
0.5 MG
ORL  TAB
0.0359
0.0359
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
APO-LORAZEPAM
1 MG
ORL  TAB
0.0447
0.0447
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
ATIVAN
1 MG
ORL  SLT
0.1534
0.1100
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
ATIVAN
1 MG
ORL  TAB
0.0499
0.0447
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
LORAZEPAM
1 MG
ORL  SLT
0.1100
0.1100
TAB
YES

REGULAR BENEFIT

LORAZEPAM
LORAZEPAM
1 MG
ORL  TAB
0.0447
0.0447
TAB
YES

REGULAR BENEFIT

LORAZEPAM
PMS-LORAZEPAM
1 MG
ORL  TAB
0.0447
0.0447
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
TEVA-LORAZEPAM
1 MG
ORL  TAB
0.0447
0.0447
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
APO-LORAZEPAM
2 MG
ORL  TAB
0.0699
0.0699
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
ATIVAN
2 MG
ORL  SLT
0.2383
0.1711
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
ATIVAN
2 MG
ORL  TAB
0.0782
0.0699
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
LORAZEPAM
2 MG
ORL  SLT
0.1711
0.1711
TAB
YES

REGULAR BENEFIT

LORAZEPAM
LORAZEPAM
2 MG
ORL  TAB
0.0699
0.0699
TAB
YES

REGULAR BENEFIT

LORAZEPAM
PMS-LORAZEPAM
2 MG
ORL  TAB
0.0699
0.0699
TAB
YES

REGULAR BENEFIT

 

LORAZEPAM
TEVA-LORAZEPAM
2 MG
ORL  TAB
0.0699
0.0699
TAB
YES

REGULAR BENEFIT

 

MIDAZOLAM HCL
MIDAZOLAM
5 MG / ML
INJ 
4.1000
N/A
ML
NO

REGULAR BENEFIT

 

NITRAZEPAM
MOGADON
10 MG
ORL  TAB
0.2400
N/A
TAB
NO

REGULAR BENEFIT

 

NITRAZEPAM
MOGADON
5 MG
ORL  TAB
0.1604
N/A
TAB
NO

REGULAR BENEFIT

 

OXAZEPAM
APO-OXAZEPAM
10 MG
ORL  TAB
0.0420
N/A
TAB
NO

REGULAR BENEFIT

 

OXAZEPAM
APO-OXAZEPAM
15 MG
ORL  TAB
0.0660
N/A
TAB
NO

REGULAR BENEFIT

 

OXAZEPAM
APO-OXAZEPAM
30 MG
ORL  TAB
0.0900
N/A
TAB
NO

REGULAR BENEFIT

 

TEMAZEPAM
RESTORIL
15 MG
ORL  CAP
0.2163
N/A
CAP
NO

REGULAR BENEFIT

 

TEMAZEPAM
RESTORIL
30 MG
ORL  CAP
0.2617
N/A
CAP
NO

REGULAR BENEFIT

 

TRIAZOLAM
TRIAZO
0.25 MG
ORL  TAB
0.2669
N/A
TAB
NO

REGULAR BENEFIT

 


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