Interchangeable Grouping
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48:00 COUGH PREPARATIONS
48:02:00 ANTI FIBROTIC AGENTS
PIRFENIDONE
267mg Tab
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02464489
Esbriet
(Off-Formulary Interchangeable)
13.4240
6.7120
02514702
Jamp Pirfenidone
(Off-Formulary Interchangeable)
6.7120
6.7120
02531526
PMS-Pirfenidone
(Off-Formulary Interchangeable)
6.7120
6.7120
02488507
Sandoz Pirfenidone Tablets
(Off-Formulary Interchangeable)
6.7120
6.7120
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