Interchangeable Grouping

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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:92:00 MISCELLANEOUS CENTRAL NERVOUS SYSTEM DRUGS
SUMATRIPTAN SUCCINATE50mg Tab
Interchangeables found: 3New Search
DIN/ PIN/ NPNBrand NameDrug Benefit Price or Unit PriceAmount MOH Pays:
02212153Imitrex DF(Off-Formulary Interchangeable)18.69679.0650
02385570Sumatriptan DF(Off-Formulary Interchangeable)9.06509.0650
02286823Teva-Sumatriptan DF(Off-Formulary Interchangeable)9.06509.0650