Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
92:36:00 DISEASE-MODIFYING ANTIRHEUMATIC AGENTS
APREMILAST
30mg Tab
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02518910
GLN-Apremilast
(Off-Formulary Interchangeable)
18.7239
N/A
02434334
Otezla
(Off-Formulary Interchangeable)
N/A
N/A
02521733
PMS-Apremilast
(Off-Formulary Interchangeable)
18.7238
N/A
02529084
Sandoz Apremilast
(Off-Formulary Interchangeable)
18.7238
N/A
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