Interchangeable Grouping
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56:00 GASTROINTESTINAL DRUGS
56:22:00 ANTIEMETICS AND ANTINAUSEANTS
LU Criteria Text
ONDANSETRON HYDROCHLORIDE
4mg/5mL O/L
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02291967
Apo-Ondansetron
0.7952
0.7952
02490617
Jamp Ondansetron
0.7952
0.7952
02524090
Mint-Ondansetron Solution
0.7952
0.7952
02229639
Zofran
2.3612
0.7952
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