Interchangeable Grouping
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48:00 COUGH PREPARATIONS
48:02:00 ANTI FIBROTIC AGENTS
PIRFENIDONE
801mg Tab
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02464500
Esbriet
(Off-Formulary Interchangeable)
40.2720
20.1360
02514710
Jamp Pirfenidone
(Off-Formulary Interchangeable)
20.1360
20.1360
02531534
PMS-Pirfenidone
(Off-Formulary Interchangeable)
20.1360
20.1360
02488515
Sandoz Pirfenidone Tablets
(Off-Formulary Interchangeable)
20.1360
20.1360
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