Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:16:04 PSYCHOTHERAPEUTIC AGENTS ANTIDEPRESSANTS
LU Criteria Text
BUPROPION HCL
100mg Tab
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02275074
Odan Bupropion SR
0.5260
0.5260
02237824
Wellbutrin SR
(Not a Benefit)
N/A
N/A
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