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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
02100193
BETAMETHASONE VALERATE
Betnovate (Not a Benefit) 0.1% Lot
SHI
N/A
N/A
YES
NO
NO
01934392
MIDODRINE HCL
Amatine (Not a Benefit) 2.5mg Tab
SHI
N/A
N/A
YES
NO
NO
01934406
MIDODRINE HCL
Amatine (Not a Benefit) 5mg Tab
SHI
N/A
N/A
YES
NO
NO
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