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Products found: 3
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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
02409720
ACLIDINIUM BROMIDE
Tudorza Genuair 400mcg/actuation Pd Inh-60 Dose Pk
COP
54.9054
54.9054
NO
NO
NO
02439530
ACLIDINIUM BROMIDE & FORMOTEROL FUMARATE DIHYDRATE
Duaklir Genuair 400mcg & 12mcg Metered Dose Pd Inh-60 Dose Pk
COP
62.7224
62.7224
NO
YES
NO
02303671
CICLESONIDE
Omnaris 50mcg/Actuation Metered Dose Nas Sp-120 Dose Pk
COP
28.1570
28.1570
NO
NO
NO
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