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
2% Oph Sol
Interchangeables found: 5
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02522373
Dorzolamide
1.4757
1.4757
02453347
Jamp-Dorzolamide
1.4757
1.4757
02457210
Med-Dorzolamide
1.4757
1.4757
02316307
Sandoz Dorzolamide
1.4757
1.4757
02216205
Trusopt
5.9540
1.4757
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