Interchangeable Grouping
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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS
52:08:92 ANTI-INFLAMMATORY AGENTS ANTI-INFLAMMATORY AGENTS, MISCELLANEOUS
CYCLOSPORINE
0.05% w/v Oph Emuls-0.4mL Pk
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02355655
Restasis
(Off-Formulary Interchangeable)
N/A
N/A
02462486
Teva-Cyclosporine
(Off-Formulary Interchangeable)
2.9160
N/A
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