Interchangeable Grouping
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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS
52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS
LU Criteria Text
DORZOLAMIDE HCL & TIMOLOL MALEATE
2% & 0.5% Oph Sol
Interchangeables found: 12
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02299615
Apo-Dorzo-Timop
2.0951
2.0951
02404389
Co Dorzotimolol
2.0951
2.0951
02240113
Cosopt
9.3890
2.0951
02489635
Dorzolamide and Timolol Eye Drops BP
2.0951
2.0951
02522020
Dorzolamide-Timolol
2.0951
2.0951
02457539
Jamp Dorzolamide-Timolol
2.0951
2.0951
02537796
M-Dorzolamide-Timolol
2.0951
2.0951
02437686
Med-Dorzolamide-Timolol
2.0951
2.0951
02443090
Mint-Dorzolamide/Timolol
2.0951
2.0951
02442426
PMS-Dorzolamide-Timolol
2.0951
2.0951
02441659
Riva-Dorzolamide/Timolol
2.0951
2.0951
02344351
Sandoz Dorzolamide/Timolol
2.0951
2.0951
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