Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:92:00 MISCELLANEOUS CENTRAL NERVOUS SYSTEM DRUGS
SUMATRIPTAN SUCCINATE
6mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02212188
Imitrex
(Off-Formulary Interchangeable)
47.5800
36.5888
02361698
Taro-Sumatriptan
(Off-Formulary Interchangeable)
36.5888
36.5888
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