Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:10:00 OPIATE ANTAGONISTS
LU Criteria Text
NALTREXONE HCL
50mg Tab
Interchangeables found: 3
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02444275
Apo-Naltrexone
2.8075
2.8075
02451883
Naltrexone Hydrochloride Tablets USP
2.8075
2.8075
02213826
Revia
2.8075
2.8075
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