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Prescription Drug Detail
Brand Name
Brand Tier
Generic Name
Generic Tier
ZANTAC 300 mg
(Tier
3
)
ranitidine 300 mg
(Tier
1
)
Prior Authorization Required:
No
Quantity Limit:
No
Category:
Stomach & Digestive disorders\acid & stomach ulcers
Maintenance Drug:
Yes
Notes:
Zantac 75 mg and 150 mg are available over the counter, therefore not a prescription benefit. wjp
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