Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
SILDENAFIL
20mg Tab
Interchangeables found: 5
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02418118
Apo-Sildenafil R
(Off-Formulary Interchangeable)
7.2940
7.2940
02469669
Jamp-Sildenafil R
(Off-Formulary Interchangeable)
7.2940
7.2940
02412179
PMS-Sildenafil R
(Off-Formulary Interchangeable)
7.2940
7.2940
02279401
Revatio
(Off-Formulary Interchangeable)
12.7431
7.2940
02319500
Teva-Sildenafil R
(Off-Formulary Interchangeable)
7.2940
7.2940
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