Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
URSODIOL
500mg Tab
Interchangeables found: 7
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02505371
AG-Ursodiol
0.7242
0.7242
02426919
GLN-Ursodiol
0.7242
0.7242
02472406
Jamp-Ursodiol
0.7242
0.7242
02544024
NRA-Ursodiol
0.7242
0.7242
02273500
PMS-Ursodiol C
0.7242
0.7242
02245894
Urso DS
3.1751
0.7242
02515539
Ursodiol C
0.7242
0.7242
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