Interchangeable Grouping
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88:00 VITAMINS
88:08:00 VITAMIN B
LEUCOVORIN CALCIUM
5mg Tab
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02548208
Jamp Leucovorin
1.8388
1.8388
02170493
Leucovorin Calcium
7.3552
1.8388
02496828
Mint-Leucovorin
1.8388
1.8388
02493357
Riva Leucovorin
1.8388
1.8388
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