Interchangeable Grouping
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
VARENICLINE TARTRATE
0.5mg & 1.0mg Tab (Starter Pack-53 Tabs)
Interchangeables found: 4
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02435675
Apo-Varenicline
24.3853
24.3853
09857519
Champix
(Not a Benefit)
N/A
N/A
02542986
NRA-Varenicline
24.3853
24.3853
09857631
Teva-Varenicline
24.3853
24.3853
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