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Products found: 3New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02404508DIMETHYL FUMARATETecfidera (Off-Formulary Interchangeable) 120mg DR CapBIG18.38669.1933YESNONO
02420201DIMETHYL FUMARATETecfidera (Off-Formulary Interchangeable) 240mg DR CapBIG36.773418.3867YESNONO
02379910FAMPRIDINEFampyra (Off-Formulary Interchangeable) 10mg ER TabBIGN/AN/AYESNONO