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Products found: 3

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
02404508	DIMETHYL FUMARATE	Tecfidera (Off-Formulary Interchangeable) 120mg DR Cap	BIG	18.3866	9.1933	YES	NO	NO
02420201	DIMETHYL FUMARATE	Tecfidera (Off-Formulary Interchangeable) 240mg DR Cap	BIG	36.7734	18.3867	YES	NO	NO
02379910	FAMPRIDINE	Fampyra (Off-Formulary Interchangeable) 10mg ER Tab	BIG	N/A	N/A	YES	NO	NO