Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:08:00 ANDROGENS
LU Criteria Text
TESTOSTERONE
1% 5.0g Foil Packet
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02245346
Androgel
4.4145
2.9575
02463806
Taro-Testosterone Gel
2.9575
2.9575
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