Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
TACROLIMUS
5mg Cap
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02175983
Prograf
12.9986
9.4650
02416832
Sandoz Tacrolimus
9.4650
9.4650
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