Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
TETRABENAZINE
25mg Tab
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02407590
Apo-Tetrabenazine
(Off-Formulary Interchangeable)
4.8551
4.8551
02199270
Nitoman
(Off-Formulary Interchangeable)
N/A
N/A
02402424
PMS-Tetrabenazine
(Off-Formulary Interchangeable)
4.8551
4.8551
02410338
Tetrabenazine Tablets
(Off-Formulary Interchangeable)
4.8551
4.8551
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