Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES
NORGESTIMATE & ETHINYL ESTRADIOL
3 Phase Tab-28 Pk
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02258587
Tri-Cyclen Lo
(Not a Benefit)
N/A
N/A
02401975
Tricira Lo (28 Day)
13.3900
13.3900
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