Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
RALOXIFENE HCL
60mg Tab
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02279215
Apo-Raloxifene
0.5134
0.5134
02358840
Co Raloxifene
0.5134
0.5134
02239028
Evista
2.2625
0.5134
02540681
Jamp Raloxifene
0.5134
0.5134
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