Interchangeable Grouping
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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS
52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS
LU Criteria Text
LATANOPROST
0.005% Oph Sol-2.5mL Pk
Interchangeables found: 10
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02296527
Apo-Latanoprost
9.5830
9.5830
02254786
Co Latanoprost
9.5830
9.5830
02373041
Gd-Latanoprost
9.5830
9.5830
02453355
Jamp Latanoprost
9.5830
9.5830
02489570
Latanoprost Ophthalmic Solution
9.5830
9.5830
02513285
M-Latanoprost
9.5830
9.5830
02426935
Med-Latanoprost
9.5830
9.5830
02341085
Riva-Latanoprost
9.5830
9.5830
02367335
Sandoz Latanoprost
9.5830
9.5830
02231493
Xalatan
34.1605
9.5830
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