Interchangeable Grouping
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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS
52:24:00 MYDRIATICS
CYCLOPENTOLATE HCL
1% Oph Sol
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
00252506
Cyclogyl
(Off-Formulary Interchangeable)
N/A
N/A
00626627
Odan-Cyclopentolate
(Off-Formulary Interchangeable)
0.8925
N/A
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