Interchangeable Grouping
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08:00 ANTI-INFECTIVE AGENTS
08:18:00 ANTIVIRALS
LETERMOVIR
480mg Tab
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02559331
Lupin-Letermovir
(Off-Formulary Interchangeable)
179.0370
179.0370
02469383
Prevymis
(Off-Formulary Interchangeable)
238.7160
179.0370
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