Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES
NORGESTIMATE & ETHINYL ESTRADIOL
3 Phase Tab-21 Pk
Interchangeables found: 3
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02508087
Tri-Cira 21
14.3900
14.3900
02028700
Tri-Cyclen
(Not a Benefit)
N/A
N/A
02486296
Tri-Jordyna 21
14.3900
14.3900
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