Interchangeable Grouping
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56:00 GASTROINTESTINAL DRUGS
56:40:00 MISCELLANEOUS G.I. DRUGS
LU Criteria Text
OMEPRAZOLE
20mg
Interchangeables found: 11
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02245058
Apo-Omeprazole Cap
0.2287
0.2287
02420198
Jamp-Omeprazole DR Tab
0.2287
0.2287
02190915
Losec DR Tab
(Not a Benefit)
N/A
N/A
02439549
Nat-Omeprazole DR Tab
0.2287
0.2287
02504294
Omeprazole Magnesium Delayed Release Tab
0.2287
0.2287
02416549
Omeprazole Magnesium Delayed Release Tab
0.2287
0.2287
02411857
Omeprazole-20 DR Cap
0.2287
0.2287
09857342
PMS-Omeprazole DR Cap
0.2287
0.2287
02260867
Ratio-Omeprazole DR Tab
0.2287
0.2287
02296446
Sandoz Omeprazole DR Cap
0.2287
0.2287
02295415
Teva-Omeprazole DR Tab
0.2287
0.2287
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