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Products found: 6

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
00779458	CODEINE PHOSPHATE	Codeine (Not a Benefit) 15mg Tab	ROG	N/A	N/A	YES	NO	YES
01928783	DEXTROMETHORPHAN HBR	Koffex DM 3mg/mL O/L	ROG	0.0190	0.0190	YES	NO	NO
00026794	GUAIFENESIN	Guaifenesin (Not a Benefit) 20mg/mL O/L	ROG	N/A	N/A	YES	NO	NO
00990930	GUAIFENESIN	Guaifenesin Sugar Free (Not a Benefit) 20mg/mL O/L	ROG	N/A	N/A	YES	NO	NO
00477699	HYDROCORTISONE ACETATE	Corticreme (Not a Benefit) 1% Cr	ROG	N/A	N/A	YES	NO	NO
00172944	POVIDONE - IODINE	Proviodine (Not a Benefit) 10% Top Sol	ROG	N/A	N/A	YES	NO	NO