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Products found: 4
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DIN/ PIN/ NPN
Generic Name
Brand Name, Strength & Dosage Form
MFR
Drug Benefit Price or Unit Price
Amount MOH Pays
Inter- change- able
Limited Use
Thera- peutic Notes
02229110
FAMCICLOVIR
Famvir (Off-Formulary Interchangeable) 125mg Tab
APU
N/A
N/A
YES
NO
NO
02229129
FAMCICLOVIR
Famvir (Off-Formulary Interchangeable) 250mg Tab
APU
N/A
N/A
YES
NO
NO
02177102
FAMCICLOVIR
Famvir 500mg Tab
APU
7.7438
3.8719
YES
YES
NO
02063808
OLSALAZINE SODIUM
Dipentum 250mg Cap
APU
0.5330
0.5330
NO
NO
NO
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