Interchangeable Grouping
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86:00 SPASMOLYTICS
LU Criteria Text
FESOTERODINE FUMARATE
4mg Tab
Interchangeables found: 3
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02535998
Ach-Fesoterodine
0.7500
0.7500
02521768
Sandoz Fesoterodine Fumarate
0.7500
0.7500
02380021
Toviaz
1.5794
0.7500
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