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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
Interchangeable
Limited Use
Therapeutic Notes
01924559
DEXTROAMPHETAMINE SULFATE
Dexedrine Spansules 10mg SR Cap
PPI
1.2451
0.8096
YES
NO
YES
01924567
DEXTROAMPHETAMINE SULFATE
Dexedrine Spansules 15mg SR Cap
PPI
1.5222
0.9898
YES
NO
YES
02086026
FLUDROCORTISONE ACETATE
Florinef 0.1mg Tab
PPI
0.5806
0.3131
YES
NO
NO
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