Interchangeable Grouping
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84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS
84:04:06 ANTI-INFECTIVES ANTIVIRALS
ACYCLOVIR
5% Top Oint
Interchangeables found: 3
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02477130
Apo-Acyclovir Ointment
(Off-Formulary Interchangeable)
12.3114
N/A
02522306
Taro-Acyclovir
(Off-Formulary Interchangeable)
12.3114
N/A
00569771
Zovirax
(Off-Formulary Interchangeable)
N/A
N/A
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