Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
Therapeutic Note(s)
AMANTADINE HCL
10mg/mL O/L
Interchangeables found: 3
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02538601
Odan-Amantadine Syrup
0.0988
0.0988
02022826
PDP-Amantadine Hydrochloride Syrup
0.0988
0.0988
01913999
Symmetrel
(Not a Benefit)
N/A
N/A
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