Interchangeable Grouping
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86:00 SPASMOLYTICS
LU Criteria Text
FESOTERODINE FUMARATE
4mg Tab
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02521768
Sandoz Fesoterodine Fumarate
1.1250
1.1250
02380021
Toviaz
1.5000
1.1250
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