Interchangeable Grouping

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56:40:00 MISCELLANEOUS G.I. DRUGSLU Criteria Text
Interchangeables found: 12New Search
DIN/ PIN/ NPNBrand NameDrug Benefit Price or Unit PriceAmount MOH Pays:
02245058Apo-Omeprazole Cap0.22870.2287
02420198Jamp-Omeprazole DR Tab0.22870.2287
02190915Losec DR Tab(Not a Benefit)N/AN/A
02501880NRA-Omeprazole DR Tab0.22870.2287
02439549Nat-Omeprazole DR Tab0.22870.2287
02504294Omeprazole Magnesium Delayed Release Tab0.22870.2287
02416549Omeprazole Magnesium Delayed Release Tab0.22870.2287
02411857Omeprazole-20 DR Cap0.22870.2287
09857342PMS-Omeprazole DR Cap0.22870.2287
02260867Ratio-Omeprazole DR Tab0.22870.2287
02296446Sandoz Omeprazole DR Cap0.22870.2287
02295415Teva-Omeprazole DR Tab0.22870.2287