Interchangeable Grouping
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20:00 BLOOD FORMATION AND COAGULATION
20:12:00 COAGULANTS AND ANTI-COAGULANTS
LU Criteria Text
FONDAPARINUX SODIUM
2.5mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk (Preservative Free)
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02245531
Arixtra
11.6309
11.1944
02406853
Fondaparinux Sodium Injection
11.1944
11.1944
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