Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
LEVODOPA & CARBIDOPA
100mg & 25mg CR Tab
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02272873
AA-Levocarb CR
0.7974
0.7974
02028786
Sinemet CR
(Not a Benefit)
N/A
N/A
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