Interchangeable Grouping
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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS
52:16:00 LOCAL ANESTHETICS
BENZYDAMINE HCL
0.15% Oral Rinse
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02463105
Odan-Benzydamine
(Off-Formulary Interchangeable)
0.0960
N/A
02239537
PMS-Benzydamine
(Off-Formulary Interchangeable)
0.0960
N/A
02229777
Pharixia
(Not a Benefit)
N/A
N/A
01966065
Tantum
(Not a Benefit)
N/A
N/A
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