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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
00642401
ACETAMINOPHEN
Tempra (Not a Benefit) 80mg/mL O/L
MJS
N/A
N/A
YES
NO
NO
00762954
FERROUS SULFATE
Fer-In-Sol 75mg/mL O/L
MJS
0.2436
0.2436
NO
NO
NO
09857172
NUTRITIONAL PRODUCT
Enfamil EnfaCare A+ 22kcal/30mL Pd for Liq-363g Pk
MJS
N/A
15.2928
NO
NO
NO
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