Interchangeable Grouping
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84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS
84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS
ADAPALENE & BENZOYL PEROXIDE
0.3% w/w & 2.5% w/w Top Gel
Interchangeables found: 3
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02517205
Sandoz Adapalene/Benzoyl Peroxide
(Off-Formulary Interchangeable)
2.1576
N/A
02446235
TactuPump Forte
(Off-Formulary Interchangeable)
N/A
N/A
02505053
Taro-Adapalene/Benzoyl Peroxide Forte
(Off-Formulary Interchangeable)
2.1577
N/A
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