Interchangeable Grouping

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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
SILDENAFIL20mg Tab
Interchangeables found: 5New Search
DIN/ PIN/ NPNBrand NameDrug Benefit Price or Unit PriceAmount MOH Pays:
02418118Apo-Sildenafil R(Off-Formulary Interchangeable)7.29407.2940
02469669Jamp-Sildenafil R(Off-Formulary Interchangeable)7.29407.2940
02412179PMS-Sildenafil R(Off-Formulary Interchangeable)7.29407.2940
02279401Revatio(Off-Formulary Interchangeable)12.74317.2940
02319500Teva-Sildenafil R(Off-Formulary Interchangeable)7.29407.2940