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Products found: 4
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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
09854391
NUTRITIONAL PRODUCT
Perative Liq-1000mL Pk
ROS
N/A
11.4800
NO
NO
NO
09857419
NUTRITIONAL PRODUCT
Pediasure Plus with Fibre 1.5kcal/mL Liq-235mL Pk
ROS
N/A
2.7400
NO
NO
NO
09854371
NUTRITIONAL PRODUCT
Pediasure with Fibre 1kcal/mL Liq-235mL Pk
ROS
N/A
2.4700
NO
NO
NO
09854390
NUTRITIONAL PRODUCT
Perative Liq-237mL Pk
ROS
N/A
2.7200
NO
NO
NO
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