Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:92:00 MISCELLANEOUS CENTRAL NERVOUS SYSTEM DRUGS
SUMATRIPTAN SUCCINATE
25mg Tab
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02239738
Imitrex DF
(Off-Formulary Interchangeable)
N/A
N/A
02286815
Teva-Sumatriptan DF
(Off-Formulary Interchangeable)
8.9900
N/A
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