Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES
ETHINYL ESTRADIOL & LEVONORGESTREL
20mcg & 100mcg Tab-21 Pk
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02236974
Alesse 21
15.7700
9.7400
02387875
Alysena 21
9.7400
9.7400
02298538
Aviane 21
9.7400
9.7400
02401185
Lutera 21
9.7356
9.7356
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