Interchangeable Grouping

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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS
52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTSLU Criteria Text
BRIMONIDINE0.2% Oph Sol
Interchangeables found: 6New Search
DIN/ PIN/ NPNBrand NameDrug Benefit Price or Unit PriceAmount MOH Pays:
02236876Alphagan3.79701.1550
02515377Brimonidine Tartrate Ophthalmic Solution1.15501.1550
02449226Jamp-Brimonidine1.15501.1550
02507811Med-Brimonidine1.15501.1550
02246284PMS-Brimonidine1.15501.1550
02305429Sandoz Brimonidine1.15501.1550
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