Interchangeable Grouping

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12:00 AUTONOMIC AGENTSTherapeutic Note(s)
12:20:00 SKELETAL MUSCLE RELAXANTS
BACLOFEN0.5mg/mL Inj Sol-20mL Pk (Preservative-Free)
Interchangeables found: 4New Search
DIN/ PIN/ NPNBrand NameDrug Benefit Price or Unit PriceAmount MOH Pays:
02457067Baclofen Injection(Off-Formulary Interchangeable)177.2500177.2500
02485508Baclofen Intrathecal(Off-Formulary Interchangeable)177.2500177.2500
02413639Baclofen Intrathecal(Off-Formulary Interchangeable)177.2500177.2500
02131056Lioresal Intrathecal(Off-Formulary Interchangeable)N/AN/A