Interchangeable Grouping
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20:00 BLOOD FORMATION AND COAGULATION
20:24:00 HEMORRHEOLOGIC AGENTS
LU Criteria Text
PENTOXIFYLLINE
400mg SR Tab
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02230090
Pentoxifylline SR
0.8042
0.8042
02221977
Trental
(Not a Benefit)
N/A
N/A
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