Interchangeable Grouping

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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS
52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS
CHLORHEXIDINE GLUCONATE0.12% Oral Rinse
Interchangeables found: 3New Search
DIN/ PIN/ NPNBrand NameDrug Benefit Price or Unit PriceAmount MOH Pays:
02240433Perichlor(Off-Formulary Interchangeable)0.0253N/A
02493160Perichlor Without Alcohol(Off-Formulary Interchangeable)0.0253N/A
02237452Peridex(Off-Formulary Interchangeable)N/AN/A