Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
URSODIOL
250mg Tab
Interchangeables found: 7
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02505363
AG-Ursodiol
0.3818
0.3818
02426900
GLN-Ursodiol
0.3818
0.3818
02472392
Jamp-Ursodiol
0.3818
0.3818
02544032
NRA-Ursodiol
0.3818
0.3818
02273497
PMS-Ursodiol C
0.3818
0.3818
02238984
Urso
(Not a Benefit)
N/A
N/A
02515520
Ursodiol C
0.3818
0.3818
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