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Products found: 2
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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
02144336
LEVOCARNITINE
Carnitor (Off-Formulary Interchangeable) 100mg/mL Oral Sol (with preservative)
LBI
0.3809
0.3809
YES
NO
NO
00012750
PROCARBAZINE HCL
Matulane 50mg Cap
LBI
81.3959
81.3959
NO
NO
YES
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