Interchangeable Grouping

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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
92:36:00 DISEASE-MODIFYING ANTIRHEUMATIC AGENTSLU Criteria Text
TOFACITINIB5mg Tab
Interchangeables found: 5New Search
DIN/ PIN/ NPNBrand NameDrug Benefit Price or Unit PriceAmount MOH Pays:
02530007Auro-Tofacitinib5.98975.9897
02522896Jamp Tofacitinib5.98975.9897
02522799PMS-Tofacitinib5.98975.9897
02511304Taro-Tofacitinib5.98975.9897
02423898Xeljanz24.77335.9897
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