Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LEVOCARNITINE
100mg/mL Oral Sol (with preservative)
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02144336
Carnitor
(Off-Formulary Interchangeable)
0.3809
0.3809
02492105
Odan Levocarnitine
(Off-Formulary Interchangeable)
0.3809
0.3809
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