Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES
CYPROTERONE ACETATE & ETHINYL ESTRADIOL
2mg & 0.035mg Tab-21 Pk
Interchangeables found: 5
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02436736
Cleo-35
(Off-Formulary Interchangeable)
23.3394
N/A
02290308
Cyestra-35
(Off-Formulary Interchangeable)
23.3394
N/A
02233542
Diane-35
(Off-Formulary Interchangeable)
N/A
N/A
02425017
Ran-Cyproterone/Ethinyl Estradiol
(Off-Formulary Interchangeable)
23.3394
N/A
02309556
Teva-Cyproterone/Ethinyl Estradiol
(Off-Formulary Interchangeable)
23.3400
N/A
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