PTC 289200

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Products Found: 13

MFR

Review Status/
Past Decision(s)

ACAMPROSATE CALCIUM
CAMPRAL
333 MG
ORL  DRT
0.8000
N/A
TAB
NO

SPECIAL AUTHORIZATION

02262800
ATOMOXETINE HCL
STRATTERA
10 MG
ORL  CAP
N/A
N/A
CAP
NO

NOT A BENEFIT *

02262819
ATOMOXETINE HCL
STRATTERA
18 MG
ORL  CAP
N/A
N/A
CAP
NO

NOT A BENEFIT *

02262827
ATOMOXETINE HCL
STRATTERA
25 MG
ORL  CAP
N/A
N/A
CAP
NO

NOT A BENEFIT *

02262835
ATOMOXETINE HCL
STRATTERA
40 MG
ORL  CAP
N/A
N/A
CAP
NO

NOT A BENEFIT *

02262843
ATOMOXETINE HCL
STRATTERA
60 MG
ORL  CAP
N/A
N/A
CAP
NO

NOT A BENEFIT *

DIMETHYL FUMARATE
TECFIDERA
120 MG
ORL  DRC
17.2101
N/A
CAP
NO

SPECIAL AUTHORIZATION

02420201
DIMETHYL FUMARATE
TECFIDERA
240 MG
ORL  DRC
N/A
N/A
CAP
NO

NOT A BENEFIT *

02260638
MEMANTINE HYDROCHLORIDE
EBIXA
10 MG
ORL  TAB
N/A
N/A
TAB
NO

NOT A BENEFIT *

RILUZOLE
APO-RILUZOLE
50 MG
ORL  TAB
3.4361
3.4361
TAB
YES

SPECIAL AUTHORIZATION

RILUZOLE
MYLAN-RILUZOLE
50 MG
ORL  TAB
3.4361
3.4361
TAB
YES

SPECIAL AUTHORIZATION

RILUZOLE
RILUTEK
50 MG
ORL  TAB
10.0542
3.4361
TAB
YES

SPECIAL AUTHORIZATION

02268272
SODIUM OXYBATE
XYREM
500 MG / ML
ORL  SOL
N/A
N/A
ML
NO

NOT A BENEFIT *


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