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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
02267233
PANTOPRAZOLE MAGNESIUM
Tecta 40mg Ent Coated Tab
NYC
0.8260
0.1875
YES
NO
NO
02229453
PANTOPRAZOLE SODIUM
Pantoloc 40mg Ent Tab
NYC
2.0803
0.2016
YES
YES
NO
02241804
PANTOPRAZOLE SODIUM
Pantoloc (Off-Formulary Interchangeable) 20mg Ent Tab
NYC
N/A
N/A
YES
NO
NO
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