Interchangeable Grouping

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48:00 COUGH PREPARATIONS
48:02:00 ANTI FIBROTIC AGENTS
PIRFENIDONE267mg Tab
Interchangeables found: 4New Search
DIN/ PIN/ NPNBrand NameDrug Benefit Price or Unit PriceAmount MOH Pays:
02464489Esbriet(Off-Formulary Interchangeable)13.42406.7120
02514702Jamp Pirfenidone(Off-Formulary Interchangeable)6.71206.7120
02531526PMS-Pirfenidone(Off-Formulary Interchangeable)6.71206.7120
02488507Sandoz Pirfenidone Tablets(Off-Formulary Interchangeable)6.71206.7120