Interchangeable Grouping

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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:08:00 ANTI-INFLAMMATORY AGENTS

MOMETASONE FUROATE50mcg/Dose Nas Sp-140 Dose Pk

Interchangeables found: 6

DIN/ PIN/ NPN	Brand Name	Drug Benefit Price or Unit Price	Amount MOH Pays:
02403587	Apo-Mometasone(Off-Formulary Interchangeable)	21.6900	N/A
02551756	Mometasone(Off-Formulary Interchangeable)	21.6860	N/A
02519127	Mometasone(Off-Formulary Interchangeable)	21.6900	N/A
02238465	Nasonex(Off-Formulary Interchangeable)	N/A	N/A
02449811	Sandoz Mometasone(Off-Formulary Interchangeable)	21.6860	N/A
02475863	Teva-Mometasone(Off-Formulary Interchangeable)	21.6900	N/A