Interchangeable Grouping
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08:00 ANTI-INFECTIVE AGENTS
08:12:04 ANTIBIOTICS ANTIFUNGALS
LU Criteria Text
ITRACONAZOLE
10mg/mL Oral Sol
Interchangeables found: 3
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02484315
Jamp Itraconazole Oral Solution
0.4111
0.4111
02495988
Odan-Itraconazole
0.4111
0.4111
02231347
Sporanox
(Not a Benefit)
N/A
N/A
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