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Products found: 5
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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
02273225
DARIFENACIN
Enablex 15mg ER Tab
SLP
1.6116
0.8058
YES
YES
NO
02273217
DARIFENACIN
Enablex 7.5mg ER Tab
SLP
1.6116
0.8058
YES
YES
NO
02520028
ETHINYL ESTRADIOL & ETONOGESTREL
Haloette (Off-Formulary Interchangeable) 0.120mg & 0.015mg/24 hr Slow Release Vag Ring
SLP
14.2120
N/A
YES
NO
NO
00788716
VANCOMYCIN HCL
Vancocin (Off-Formulary Interchangeable) 250mg Cap
SLP
10.3600
10.3600
YES
NO
NO
00800430
VANCOMYCIN HCL
Vancocin 125mg Cap
SLP
5.1800
5.1800
YES
YES
NO
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