Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:08:00 ANDROGENS
LU Criteria Text
TESTOSTERONE
1% 2.5g Foil Packet
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02245345
Androgel
2.4965
1.6726
02463792
Taro-Testosterone Gel
1.6726
1.6726
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