Interchangeable Grouping
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86:00 SPASMOLYTICS
THEOPHYLLINE ANHYDROUS
400mg SR Tab
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02360101
Theo ER
0.3735
0.3734
02014165
Uniphyl
(Not a Benefit)
N/A
N/A
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