Interchangeable Grouping
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84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS
Therapeutic Note(s)
84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS
LU Criteria Text
ALITRETINOIN
30mg Cap
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02477440
Hanzema
16.9868
16.9868
02337649
Toctino
(Not a Benefit)
N/A
N/A
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