Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:36:00 THYROIDS
LIOTHYRONINE (SODIUM)
5mcg Tab
Interchangeables found: 3
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02549999
Auro-Liothyronine
(Off-Formulary Interchangeable)
1.1587
1.1587
01919458
Cytomel
(Off-Formulary Interchangeable)
N/A
N/A
02494337
Teva-Liothyronine
(Off-Formulary Interchangeable)
1.1587
1.1587
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