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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
00010413
CHLORTHALIDONE
Hygroton (Not a Benefit) 50mg Tab
GEI
N/A
N/A
YES
NO
NO
00010448
DESIPRAMINE
Pertofrane (Not a Benefit) 25mg Tab
GEI
N/A
N/A
YES
NO
NO
00514004
DICLOFENAC SODIUM
Voltaren (Not a Benefit) 25mg Ent Tab
GEI
N/A
N/A
YES
NO
YES
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