Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
Therapeutic Note(s)
28:08:08 ANALGESICS OPIATE AGONISTS
OXYCODONE HCL
20mg Tab
Interchangeables found: 3
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02240132
Oxy.IR
(Off-Formulary Interchangeable)
N/A
N/A
02319993
PMS-Oxycodone
(Off-Formulary Interchangeable)
0.6001
0.6001
02262983
Supeudol
(Off-Formulary Interchangeable)
0.6001
0.6001
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