Interchangeable Grouping

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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS
52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTSLU Criteria Text
BIMATOPROST0.01% Oph Sol-5mL Pk
Interchangeables found: 3New Search
DIN/ PIN/ NPNBrand NameDrug Benefit Price or Unit PriceAmount MOH Pays:
02529580Bimatoprost RC30.094530.0945
02565773Jamp Bimatoprost Solution RC30.094530.0945
09857368Lumigan RC60.189230.0945