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Products found: 2New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseRequi- remen- ts
09858361GLUCOSE MONITORING SYSTEMDexcom G7 Receiver Continuous Glucose Monitoring System-Receiver KitDEXN/A60.0000NONOYES
09858362GLUCOSE MONITORING SYSTEMDexcom G7 Sensor Continuous Glucose Monitoring System-Sensor KitDEXN/A75.0000NONOYES