Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:08:00 ANDROGENS
LU Criteria Text
TESTOSTERONE UNDECANOATE
40mg Cap
Interchangeables found: 3
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
00782327
Andriol
(Not a Benefit)
N/A
N/A
02322498
PMS-Testosterone
0.4700
0.4700
02421186
Taro-Testosterone
0.4700
0.4700
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