Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
Therapeutic Note(s)
28:08:08 ANALGESICS OPIATE AGONISTS
LU Criteria Text
FENTANYL TRANSDERMAL SYSTEM
25mcg/hr Trans Patch
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02275813
Duragesic
(Not a Benefit)
N/A
N/A
01937383
Duragesic 25
(Not a Benefit)
N/A
N/A
02327120
Sandoz Fentanyl Patch
8.5600
8.5600
02282941
Teva-Fentanyl
8.5600
8.5600
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