Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES
ETHINYL ESTRADIOL & LEVONORGESTREL
0.03mg & 0.15mg Tab-91 Pk
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02398869
Indayo
(Off-Formulary Interchangeable)
45.9550
N/A
02296659
Seasonale
(Off-Formulary Interchangeable)
N/A
N/A
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