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Drug Name Generic Brand ; Chlorpromazine Thorazine ; Clozapine Clozaril ; Fluphenazine Prolixin ; Haloperidol Haldol ; Loxapine Loxitane ; Mesoridazine Serentil ; Perphenazine Trilafon ; Risperidone Risperdal & Risperdal-M ; Thioridazine Mellaril ; Thiothixene Navane ; Trifluoperazine Stelazine ; Quetiapine Seroquel ; Olanzapine Zyprexa ; Ziprasidone Geoddon ; Aripiprazole Abilify ; No Criteria --Maximum Initial Dose Date mg Per Day Begun Less than or equal to 50 mg day Less than or equal to 25 mg day Less than or equal to 1 mg day Less than or equal to 1 mg day Less than or equal to 20 mg day Less than or equal to 30 mg day Less than or equal to 8 mg day Less than or equal to 0.5 mg day Less than or equal to 50 mg day Less than or equal to 4 mg day Less than or equal to 2 mg day Less than or equal to 50 mg day Less than or equal to 2.5 mg day No Criteria --08 18 97 04 Maximum Daily Dose Date mg Per Day Begun Less than or equal to 200 mg day Less than or equal to 100 mg day Less than or equal to 10 mg day Less than or equal to 10 mg day Less than or equal to 100 mg day Less than or equal to 125 mg day Less than or equal to 24 mg day Less than or equal to 6 mg day Less than or equal to 200 mg day Less than or equal to 20 mg day Less than or equal to 10 mg day Less than or equal to 400 mg day Less than or equal to 10 mg day 160 mg per day Oral 40 mg day IM 15 mg day 08 16 03 Criteria --08 16 03 No Criteria --08 18 97 No Criteria --04 22 98 No Criteria --01 16 95 No Criteria --01 16 95 No Criteria --01 16 95 No Criteria --01 16 95 No Criteria --01 16 95 No Criteria --01 16 95 No Criteria --01 16 95 No Criteria --01 16 95 No Criteria --01 16 95 No Criteria --01 16 95 Duplicate Therapy Class No Criteria Date Begun. 171. The client with varicella will most likely have an order for which category of medication? A. Antibiotics B. Antipyretics C. Antivirals D. Anticoagulants.
Abilify aripiprazole ; and Gsodon ziprasidone ; are weight neutral no weight gain ; and probably do not increase cholesterol and have the least risk of diabetes. Risperidone risperdal ; and seroquel quetiapine ; have less risk of metabolic complications compared to zyprexa and clozapine but more risk compared to abilify and geodon. Risperidone has the highest risk of parkinsonism and tardive dyskinesias among newer antipsychotics.
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2001 Carve-out from Pharmacia Creation of Biovitrum. Nordic Capital and MPM lead spin-out 2002.
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Familial hypercholesterolemia is a genetic autosomal dominant disorder that is caused by several mutations in the LDL-receptor gene. Under normal circumstances, cholesterol is removed from the blood by LDL receptors. Hypercholesterolemia is caused by an overproduction of cholesterol or a removal defect, or a combination of both. Familial hypercholesterolemia is caused by a removal defect. The reduced number or absence of functional LDL receptors results in impaired hepatic clearance of circulating LDL-C particles, which results in extremely high levels of LDL-C in the bloodstream. 3 ; Familial hypercholesterolemia is characterized by excess LDL-C deposits in tendons and arterial walls, early onset of atherosclerotic disease, and premature cardiac death. 4; 5 ; The LDL-receptor gene is located on chromosome 19, and to date, over 1000 mutations have been identified worldwide. 6 ; Mutations vary from single nucleotide substitutions to large deletions and they have been grouped into 5 different classes based on their phenotypic effects on receptor functioning. 5 ; Most mutations are for the LDL- receptor gene, however, in a small number of patients, it is the apolipoprotein B100 aPOB ; ligand for the receptor that is defective. To date, several mutations in aPOB have been identified and patients with these mutations are classified as having familial defective apolipoprotein B100, a condition that is clinically indistinguishable from heterozygous HTZ ; FH. 7; 8 ; According to the World Health Organization WHO ; classification of hyperlipidemias modified Fredrickson ; , FH is classified as type IIa hyperlipidemia See Table 1 ; . The hallmark of this disease is elevated levels of total cholesterol TC ; and LDL-C well above the 95th percentile for age and sex, with high-density lipoprotein cholesterol HDL-C ; and triglyceride TG ; levels usually in the normal range. 9 and cymbalta. Only your doctor can decide if GEODON is right for you. Before you start GEODON, be sure to tell your doctor if you: have had any problem with the way your heart beats or any heart related illness or disease any family history of heart disease, including recent heart attack have had any problem with fainting or dizziness are taking or have recently taken any prescription medicines.
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Compliance. There is no requirement that the physician establish medical necessity by proving both a ; and b ; . The operative criterion in Ms. XXXX's case is criteria a ; . Therefore, in accordance with these regulations, as a physician seeking an exception to a dose and or quantity limitation, I provided oral and written supporting statements that the requested prescription drug is medically necessary because "the number of doses that is available under a dose restriction for the prescription drug has been ineffective in the treatment of the enrollee's disease or medical condition." In all of my telephone conversations with Medco and in my written correspondence to Medco and Maximus, I have provided an appropriate supporting statement that Gedoon is medically necessary for Ms. XXXX and that the dosage, as available from Medco, was ineffective in her treatment in the past. Ms. XXXX's clinical history and course of treatment clearly show that the dose she requires is not available, given the Medco restriction, without an exception. As is set forth above, prior to October 2002, Ms. XXXX had been treated with a variety of psychotropic agents: Mellaril, Trilaton, Prolixin, and Zyprexa. Although provided in appropriate doses over an appropriate length of time, these medicines failed to produce an appropriate treatment response. In October 2002, Veodon was added to her drug regimen, and a titration process from 40 mg to 80 mg twice daily was commenced. She had a favorable response to this and experienced fewer negative side effects. This course of treatment continued until June 2004, at which time there was an exacerbation of acute symptoms that led to an increase of the Godon dose to 160 mg twice daily in October of that year. The regimen of 160 mg of Geodon twice a day proved effective and has continued uninterrupted since October 19, 2004, and Ms. XXXX has been stabilized with no active symptoms i.e., paranoia, anger, or thought disruptions ; . It appears to me from Maximus's statement that they "were unable to find documented evidence to support the use of the drug Geodon at the daily dose of 320 mg 160mg twice daily ; , " Maximus believes that I need to show medical and scientific evidence to justify the actual dose rather than showing the actual course of treatment. They seem to be misinterpreting the regulations. There are two ways to prove medical necessity in a case where there is a dose limitation i.e., the criteria specified above by a ; or CFR 423.578 b ; 5 ; iii and there is a major difference between the two. Under criteria a ; , a physician must provide a statement of fact embedded in the patient's clinical history which shows that the dose restriction has been ineffective. Under criteria b ; , a physician must provide a statement of judgment or probability as to the future course of a person's treatment, if, for example, a higher dosage is proposed. In this case, medical necessity is not a matter of my judgment based on the factors delineated in criteria b ; , but it is a matter of the medical facts and the inadequate treatment response that Ms. XXXX has had in the past.

2.1.1.c Develop an accurate method for estimating the whitecap-mediated gas flux and steady-state bubble-mediated gas supersaturation using field-measurable environmental parameters and eddycorrelation gas fluxes The influence of wave breaking and bubbles on air-sea gas flux is best understood by simultaneous measurement of bubble populations and dynamics, subsurface turbulence, wave properties, and exchange rates of gases with different molecular diffusivities and solubilities. Whitecaps work to increase the gas flux through both turbulence and bubbles, and the relative importance of each mechanism is not clear at present. Because there has been a limited suite of gases whose air-sea fluxes can be measured with short timescales, the physiochemical hydrodynamics of whitecap-mediated gas exchange have been studied using laboratory experiments in wave basins, tanks, and wind-wave tunnels Asher et al. 1995; 1996; 1997; De Leeuw et al., 1999; 2002 ; . Further studies to develop an accurate method for estimating the whitecap-mediated gas flux and steady-state bubble-mediated gas supersaturation should employ eddy-correlation gas fluxes, detailed bubble spectra, and field-measurable environmental parameters. Laboratory studies on the effect of breaking waves on gas fluxes should be conducted in saltwater using wave basins, wind-wave tunnels, or bubble-plume tanks. Experiments should include a modelling component in which the data collected are used to synthesize a verified parameterisation of the bubble-mediated gas flux that includes the measured invasion evasion flux asymmetry and steady-state supersaturation. Bubble microprocess studies must measure not only the gas fluxes, but also the size-segregated bubble populations and their subsurface dynamics from their initial creation to their dissolution or rise back to the surface and sarafem. When will geodon start to work.
Geodon patient assistance program: geodon is donated at no cost to eligible low-income uninsured patients with schizophrenia and sinequan.

Table 2. Physical Properties of PPB Fractions * Bulk Density g cm3 ; PPB SS MS LS Bead Size SD m ; 403.12 56.23 715.5 Specific Surface Area m2 g ; 153.12 110.68 86.58 Pore Radius ; 503 525 554 Total % ; Porosity 44.25 50.38 44.17 As Such 0.30 0.011 0.28 SESloaded 0.59 0.019 0.66 SBET m2 g ; As such 668.71 662.16 677.73 SESloaded 36.08 22.66 7.01.

General practitioners completed forms requesting information such as age, gender, diagnosis, duration of treatment, and any significant events, any suspected drug reactions, and reasons for stopping drug if stopped, and to indicate if any adverse events were considered to be drug related and buspar. Health and Wellness: Making Sense of MS Terminology physician who specializes in diagnosing and treating disorders of the nervous system, including MS. individuals with MS are initially diagnosed with RRMS, the majority of the other 20 percent are diagnosed with primary-progressive MS PPMS ; . This form of MS presents a gradual but steady accumulation of neurological problems from the onset, without the presence of relapses and remissions. Unlike RRMS, PPMS is equally divided between the genders. Other types of MS exist, but these are not as common. These include benign MS with little or no change after 20 years ; , progressive-relapsing MS PRMS ; a progressive course from the onset with acute relapses ; , and malignant or fulminant MS a rapidly progressive disease course.

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Accident and emergency department, physicians and pharmaceutical specialists have worked together. Pharmacists compiled an up-to-date list of medication, identified any drug-related problems, and recommended measures. It was discovered during the project that almost one-third of patients suffered from a problem related to drugs. The average hospital cost due to drug-related problems was SEK 20, 900 per patient. For Helsingborgs Lasarett AB, this is equivalent to an annual cost of SEK 45 million. Translated to the whole of Sweden, this amounts to billions of kronor and many hundreds of thousands of unnecessary visits to accident and emergency departments. In Helsingborg an agreement has now been drawn up where and atarax. A number of antipsychotic medications have been approved by the FDA to treat bipolar disorder. These medications are called antipsychotics because they were were first approved for the treatment of psychotic symptoms, such as hallucinations and delusions, that may occur in disorders such as schizophrenia or severe depression or mania. There are 2 kinds of antipsychotics: older antipsychotics called typical or conventional antipsychotics ; and newer antipsychotics called atypical or second-generation antipsychotics ; . Older antipsychotics, such as haloperidol Haldol ; , perphenazine Trilafon ; , and chlorpromazine Thorazine ; , can cause a permanent movement disorder called tardive dyskinesia TD ; and may also cause muscle stiffness, restlessness, and tremors. For this reason, the older antipsychotics are not usually a first-choice treatment, but they can sometimes be helpful for patients who do not respond to or have troublesome side effects with the newer atypical antipsychotics. The atypical antipsychotics have a much lower risk of causing TD roughly 1% per year ; and movement and muscle side effects. Because of this, they are usually the first choice in any situation when an antipsychotic is needed. The atypical antipsychotic medications have been found to be effective in treating bipolar mania even when no psychotic symptoms are present, so that they are now considered mood stabilizers as well as antipsychotics. Five of these agents are currently approved by the FDA for use in bipolar mania: aripiprazole Abilify ; olanzapine Zyprexa ; quetiapine Seroquel ; risperidone Risperdal ; ziprasidone Geodon ; Another atypical antipsychotic, clozapine Clozaril ; , is also available. However, it can cause a rare and serious blood side effect, requiring weekly or biweekly blood tests, so that it is only used when patients have not responded to other antipsychotics. Some of the atypical antipsychotics can cause side effects such as drowsiness and weight gain. Weight gain is most often associated with clozapine and olanzapine, followed by risperidone and quetiapine, while ziprasidone and aripiprazole have the lowest risk of weight gain. Because substantial weight gain can increase the risk for type II diabetes mellitus, the American Diabetes Association recommends that weight, blood sugar, and cholesterol levels be monitored in patients taking atypical antipsychotics.

1. Casarett DJ, Inouye SK. Diagnosis and management of delirium near the end of life. Ann Intern Med. 2001; 135: 32-40. [PMID: 11434730] 2. Breitbart W, Marotta R, Platt MM, Weisman H, Derevenco M, Grau C, et al. A double-blind trial of haloperidol, chlorpromazine, and lorazepam in the treatment of delirium in hospitalized AIDS patients. J Psychiatry. 1996; 153: 231-7. [PMID: 8561204] 3. Ziprasidone Geodon ; for schizophrenia. Med Lett Drugs Ther. 2001; 43: 51-2. [PMID: 11402259] and pamelor.

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McNeil Pharmaceutical, Inc., Raritan, NJ, 1998. Product Information: Halfan R ; , halofantrine hydrochloride. Research Triangle Park, NC, 1998. Product Information: Inapsine R ; , droperidol. Akorn, Inc., Decatur, IL, 2001. Product Information: Levaquin, levofloxacin. Ortho-McNeil Pharmaceutical, Inc, Raritan, NJ, 2004. Product Information: Lorelco R ; , probucol. Marion Merrell Dow, Kansas City, MO, 1991. Product Information: Mellaril R ; , thioridazine. Mylan Pharmaceuticals Inc., Morgantown, WV, 2001. Product Information: Orap R ; , pimozide. Gate Pharmaceuticals, Sellersville, PA, 1999. Product Information: Orap R ; , pimozide. Gate Pharmaceuticals, Sellersville, PA, 1999a. Product Information: Orap R ; , pimozide. Gate Pharmaceuticals, Sellersville, PA, 1999b. Product Information: Orap R ; , pimozide. Gate Pharmaceuticals, Sellersville, PA, 1999c. Product Information: Orap R ; , pimozide. Gate Pharmaceuticals, Sellersville, PA, 1999d. Product Information: Orap R ; , pimozide. Gate Pharmaceuticals, Sellersville, PA, 1999e. Product Information: Orap R ; , pimozide. Gate Pharmaceuticals, Sellersville, PA, 2000. Product Information: Orlaam R ; , levomethadyl. Roxane Laboratories, Inc., 2001. Product Information: PCE R ; , erythromycin particles in tablets. Abbott Laboratories, North Chicago, IL, 1997. Product Information: Propulsid R ; , cisapride. Janssen Pharmaceutica, Titusville, NJ, 2000. Product Information: Prozac R ; , fluoxetine. Eli Lilly and Company, Indianapolis, IN, 2001. Product Information: RANEXA TM ; extended-release tablets, ranolazine extended-release tablets. CV Therapeutics, Inc, Palo Alto, CA, 2006. Product Information: Risperdal R ; , risperidone. Janssen Pharmaceutica Products, L.P., Titusville, NJ, 2002. Product Information: Sandostatin R ; , octreotide. Novartis Pharmaceuticals, East Hanover, NJ, 1999. Product Information: Solian R ; , amisulpride tablets. Lorex Synthelabo, Maidenhead, Berkshire, UK, 1999. Product Information: Solian R ; , amisulpride tablets. Lorex Synthelabo, Maidenhead, Berkshire, UK, 1999a. Product Information: Tambocor R ; flecainide acetate. 3M Pharmaceuticals, Northridge, CA, 1998. Product Information: Trisenox R ; , aresenic trioxide injection. Cell Therapeutics Inc., Seattle, WA, 2000. Product Information: Trisenox R ; , arsenic trioxide. Cell Therapeutics, Inc., Seattle, WA, 2001. Product Information: Vascor R ; , bepridil. McNeil Pharmaceutical, Spring House, PA, 1997. Product Information: Zomig R ; , zolmitriptan tablets. AstraZeneca Pharmaceuticals, Wilmington, DE, 2001. Ramos AE, Shytle RD, Silver AA, et al: Ziprasidone-induced oculogyric crisis letter ; . J Acad Child Adolesc Psychiatry 2003; 42 9 ; : 1013- 1014. Ravin DS & Levenson JW: Fatal cardiac event following initiation of risperidone therapy. Ann Pharmacother 1997; 31: 867-870. Ravin DS & Levenson JW: Fatal cardiac event following initiation of risperidone therapy. Ann Pharmacother 1997a; 31: 867-870. Ravin DS & Levenson JW: Fatal cardiac event following initiation of risperidone therapy. Ann Pharmacother 1997b; 31: 867-870. Reeves KR & Harrigan EP: The efficacy and safety of two fixed doses of ziprasidone in schizophrenia abstract ; . Eur Neuropsychopharmacol 1996; 6 suppl ; : 201. Reeves KR & Harrigan EP: The efficacy and safety of two fixed doses of ziprasidone in schizophrenia abstract ; . Eur Neuropsychopharmacol 1996a; 6 suppl ; : 201. Schotte A, Janssen PFM, Gommeren W, et al: Risperidone compared with new and reference antipsychotic drugs: in vitro and in vivo receptor binding. Psychopharmacology 1996; 124: 57-73. Seeger TF, Seymour PA, Schmidt AW, et al: Ziprasidone CP-88, 059 ; : a new antipsychotic with combined dopamine and serotonin receptor antagonist activity. J Pharmacol Exp Ther 1995; 275: 101-113. Sharma ND, Rosman HS, Padhi ID, et al: Torsades de Pointes associated with intravenous haloperidol in critically ill patients. J Cardiol 1998; 81 2 ; : 238-240. Simpson GM, Glick ID, Weiden PJ, et al: Randomized, controlled, double-blind multicenter comparison of the efficacy and tolerability of ziprasidone and olanzapine in acutely ill inpatients with schizophrenia or schizoaffective disorder. J Psychiatry 2004; 161 10 ; : 1837-1847. Stramba-Badiale M, Nador F, Porta N, et al: QT interval prolongation and risk of life-threatening arrhythmias during toxoplasmosis prophylaxis with spiramycin in neonates. Heart J 1997; 133: 108-111. Sweetman S Ed ; : The Complete Drug Reference. London: Pharmaceutical Press. Electronic version, MICROMEDEX, Greenwood Village, Colorado, Edition expires 06 2003. Sweetman S Ed ; : The Complete Drug Reference. London: Pharmaceutical Press. Electronic version, MICROMEDEX, Greenwood Village, Colorado, Edition expires 06 2003a. Tandon R: Introduction- Ziprasidone ; . Br J Clin Pharmacol 2000; 49 suppl 1 ; : 1S-3S. Taylor DM & McAskill R: Atypical antipsychotics and weight gain--a systematic review. Acta Psychiatr Scand 2000; 101: 416-432. Wang PS, Schneeweiss S, Avorn J, et al: Risk of death in elderly users of conventional vs. atypical antipsychotic medications. N Engl J Med 2005; 353: 2335-2341. Wassmann S, Nickenig G, & Bohm M: Long QT syndrome and torsade de pointes in a patient receiving fluconazole. Ann Intern Med 1999; 131: 797. Weiden P, Aquila R, & Standard J: Atypical antipsychotic drugs and long-term outcome in schizophrenia. J Clin Psychiatr 1996; 57 suppl ; : 53-60. Wilner KD, Demattos SB, Anziano RJ, et al: Ziprasidone and the activity of cytochrome P450 2D6 in healthy extensive metabolizers. Br J Clin Pharmacol 2000a; 49 suppl 1 ; : 43S-47S. Wilner KD, Tensfeldt TG, Baris B, et al: Single- and multiple-dose pharmacokinetics of ziprasidone in healthy young and elderly.
Novolin insulins pens and cartridges ; Novolog insulins pens and cartridges ; Zaditor eye drops to treat allergies ; Geodon antipsychotic ; The following brand name products will move from Tier 2 middle co-pay ; to Tier 3 highest co-pay ; : ACCU-CHEK diabetic test strips * Humulin insulins * Humalog insulins * * All members using ACCU-CHEK diabetic test strips will be mailed an offer for a free glucose monitor- Johnson & Johnson's LifeScan OneTouch Ultra or OneTouch UltraSmart monitor, or Abbott's Freestyle Precision monitor. The purpose is to encourage the use of the OneTouch and Freestyle Precision diabetic test strips that now fall under Tier 1. * These insulins will not move to Tier 3 until September 1, 2005 in order to provide more transition time for those affected. 3. Two Additional Drugs Changing Tiers Moving from Tier 3 highest co-pay ; to Tier 2 middle co-pay ; : Allegra - non-sedating antihistamine Moving from Tier 2 middle co-pay ; to Tier 3 highest co-pay ; : Xalatan - eye drops to treat glaucoma UnitedHealthcare is sending notification to all members affected by drugs moving from Tier 2 to Tier 3, due to the higher co-pay they will incur for these prescriptions. Members are encouraged to speak to their physicians about alternative Tier 1 or Tier 2 medications that may be suitable for their condition. To view UnitedHealthcare's drug formulary list, members can log on to myuhc . APRIL 19, 2005 BACK and glyset and Buy geodon. Anything they have seen in other organisms. This parasite has a unique way of going about its business. The worst news is that Plasmodium falciparum is able to quickly alter its genetic makeup to become resistant to drugs faster than pharmaceutical firms can develop them. "What we have seen is the steady failure of almost every drug that has been used against it, " said Biologist Michael T. Ferdig, whose lab in Galvin Life Science Hall is investigating the genetic mechanisms by which P. falciparum is able to defy 21st Century medicine. While buoyed by their recent discoveries, members of Ferdig's team are also gaining alarming new insights into. Nuclear power has suffered the greatest collapse of any enterprise in the industrial history of the world. The twentieth century ended with installed nuclear capacity less than 10%, and an ordering rate less than 1%, of the lowest IAEA forecasts made a quarter-century ago. No vendor has made money by selling reactors, though some have made it up on repairs. Worldwide, nuclear power is stuck at 11% of total generating capacity, providing 6.3% of 1998 primary energy output, vs. 8.8% for PHYSICS AND SOCIETY, Vol. 30, No. 4 and precose.
Possible risks These medications can cause dizziness, drowsiness, mental clouding, sedation, problems with balance, nausea, and constipation. Most people are bothered only minimally. More severe but less common side effects include blood, heart, and liver disorders. To reduce risk for side effects, your doctor may start you on a small amount of the prescribed drug and gradually increase the dose over a period of several weeks.

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MIDAZOLAM HCL SYRP PROSOM TABS RESTORIL CAPS LUNESTA AMBIEN SONATA CAPS RISPERDAL M TAB RISPERDAL CONSA 1. Geodon has dose consolidation edit of 2 per day. 2. Abilify 1 day. 3. Zyprexa: maximal recommended dose showing efficacy is 20mg. 4. Seroquel 25mg is available without PA if the following conditions are met: a. 65 years old or older, and doseage is for 3 or more per day, and Seroquel 25mg is in the profile within the last 45 days. Use PA Form # 20420 Use PA Form # 20420 Use PA Form # 20420 Elderly over 65 ; exempt, but previous quantity limits still apply. Use PA Form # 30110.

The pharmacy benefit manager PBM ; has a mail order pharmacy for a hospital which is self-insured and also has a closed formulary. The PBM receives a prescription from Patient X, an employee of the hospital, for the antipsychotic medication Geodon. The PBM's preferred alternatives for antipsychotics are Risperidone Risperdal ; , Quetiapine Seroquel ; , and Aripiprazole Abilify ; . Since Geodon is not on the preferred alternatives list, the PBM sends a request to the prescribing physician to complete a prior authorization in order to fill and pay for the Geodon prescription. The PBM is in a different state than the provider's outpatient clinic. GEODON Capsules are differentiated by capsule color size and are imprinted in black ink with "Pfizer" and a unique number. GEODON Capsules are supplied for oral administration in 20 mg blue white ; , 40 mg blue blue ; , 60 mg white white ; , and 80 mg blue white ; capsules. They are supplied in the following strengths and package configurations: GEODON Capsules Capsule Strength mg ; NDC Code 20 NDC-0049-3960-60 40 60 80 NDC-0049-3970-60 NDC-0049-3980-60 NDC-0049-3990-60 NDC-0049-3960-41 NDC-0049-3970-41 NDC-0049-3980-41.

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