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Products found: 5

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
09857369	NUTRITIONAL PRODUCT	PurAmino A+ 5kcal/g Pd-400g Pk	MJN	N/A	55.7900	NO	NO	NO
09857345	NUTRITIONAL PRODUCT	Nutramigen A+ 5kcal/g Pd-454g Pk	MJN	N/A	29.1300	NO	NO	NO
09854401	NUTRITIONAL PRODUCT	Portagen 1.02kcal/mL Pd-454g Pk	MJN	N/A	55.7800	NO	NO	NO
09857565	NUTRITIONAL PRODUCT	Nutramigen A+ with LGG 5Kcal/g Pd-561g Can Pk	MJN	N/A	35.9900	NO	NO	NO
09858387	NUTRITIONAL PRODUCT	Nutramigen A+ 5kcal/g Pd-561g Pk	MJN	N/A	35.9900	NO	NO	NO