Interchangeable Grouping
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10:00 ANTINEOPLASTIC AGENTS
EVEROLIMUS
5mg Tab
Interchangeables found: 5
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02339501
Afinitor
(Off-Formulary Interchangeable)
202.6540
172.2559
02530104
Nat-Everolimus
(Off-Formulary Interchangeable)
172.2559
172.2559
02504685
PMS-Everolimus
(Off-Formulary Interchangeable)
172.2559
172.2559
02492938
Sandoz Everolimus
(Off-Formulary Interchangeable)
172.2559
172.2559
02463237
Teva-Everolimus
(Off-Formulary Interchangeable)
172.2559
172.2559
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