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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
02023695
ATROPINE SULFATE
Atropine 1% Oph Sol
PHS
0.5490
0.5490
YES
NO
NO
02475065
DICLOFENAC SODIUM
Diclofenac 0.1% Oph Sol
PHS
1.2397
1.2397
YES
NO
YES
02023741
PILOCARPINE HCL
Pilocarpine (Not a Benefit) 2% Oph Sol
PHS
N/A
N/A
YES
NO
NO
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