Interchangeable Grouping
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84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS
84:28:00 KERATOLYTIC AGENTS
LU Criteria Text
TRETINOIN
0.05% Cr
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
00518182
Stieva-A
0.2144
0.2144
01926519
Vitamin A Acid
(Not a Benefit)
N/A
N/A
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