Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
92:36:00 DISEASE-MODIFYING ANTIRHEUMATIC AGENTS
LU Criteria Text
TOFACITINIB CITRATE
11mg ER Tab
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02553988
Taro-Tofacitinib XR
37.1600
37.1600
02470608
Xeljanz XR
49.5467
37.1600
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