Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:12:00 CONTRACEPTIVES
ETHINYL ESTRADIOL & ETONOGESTREL
0.120mg & 0.015mg/24 hr Slow Release Vag Ring
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02520028
Haloette
(Off-Formulary Interchangeable)
14.2120
N/A
02253186
Nuvaring
(Off-Formulary Interchangeable)
N/A
N/A
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