Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
92:36:00 DISEASE-MODIFYING ANTIRHEUMATIC AGENTS
APREMILAST
10mg & 20mg & 30mg Tab-27 Blister Starter Pk
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02524120
Auro-Apremilast
(Off-Formulary Interchangeable)
505.5426
N/A
02528967
Jamp Apremilast
(Off-Formulary Interchangeable)
505.5426
N/A
02434318
Otezla
(Off-Formulary Interchangeable)
N/A
N/A
02529092
Sandoz Apremilast
(Off-Formulary Interchangeable)
505.5426
N/A
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