Interchangeable Grouping

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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
PIRFENIDONE267mg Cap
Interchangeables found: 3New Search
DIN/ PIN/ NPNBrand NameDrug Benefit Price or Unit PriceAmount MOH Pays:
02393751Esbriet(Off-Formulary Interchangeable)13.62516.7120
02509938Jamp Pirfenidone(Off-Formulary Interchangeable)6.71206.7120
02488833Sandoz Pirfenidone Capsules(Off-Formulary Interchangeable)6.71206.7120