Interchangeable Grouping
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12:00 AUTONOMIC AGENTS
12:04:00 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS
LU Criteria Text
DONEPEZIL HCL
10mg Tab
Interchangeables found: 22
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02432692
AG-Donepezil
0.4586
0.4586
02402653
Ach-Donepezil
0.4586
0.4586
02362279
Apo-Donepezil
0.4586
0.4586
02232044
Aricept
5.1856
0.4586
02400588
Auro-Donepezil
0.4586
0.4586
02412861
Bio-Donepezil
0.4586
0.4586
02397609
Co Donepezil
0.4586
0.4586
02426854
Donepezil
0.4586
0.4586
02420600
Donepezil
0.4586
0.4586
02475286
Donepezil
0.4586
0.4586
02404427
Jamp-Donepezil
0.4586
0.4586
02416956
Jamp-Donepezil Tablets
0.4586
0.4586
02467461
M-Donepezil
0.4586
0.4586
02402106
Mar-Donepezil
0.4586
0.4586
02408619
Mint-Donepezil
0.4586
0.4586
02535394
NRA-Donepezil
0.4586
0.4586
02439565
Nat-Donepezil
0.4586
0.4586
02322358
PMS-Donepezil
0.4586
0.4586
02381516
Ran-Donepezil
0.4586
0.4586
02328682
Sandoz Donepezil
0.4586
0.4586
02428490
Septa-Donepezil
0.4586
0.4586
02340615
Teva-Donepezil
0.4586
0.4586
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