Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:12:00 CONTRACEPTIVES
NORETHINDRONE ACETATE/ETHINYL ESTRADIOL & ETHINYL ESTRADIOL
1mg/10mcg & 10mcg Tab-28 Tab Pk
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02553481
Elfy
(Off-Formulary Interchangeable)
16.1084
N/A
02417456
Lolo
(Off-Formulary Interchangeable)
N/A
N/A
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