Interchangeable Grouping
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84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS
84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS
IMIQUIMOD
5% Top Cr
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
09857622
Aldara P
(Off-Formulary Interchangeable)
N/A
N/A
02482983
Taro-Imiquimod Pump
(Off-Formulary Interchangeable)
43.4350
N/A
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