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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
02165503
LANSOPRAZOLE
Prevacid 15mg DR Cap
TPA
2.4338
0.5000
YES
YES
NO
02165511
LANSOPRAZOLE
Prevacid 30mg DR Cap
TPA
2.4338
0.5000
YES
YES
NO
02238525
LANSOPRAZOLE & CLARITHROMYCIN & AMOXICILLIN
Hp-PAC (Not a Benefit) 30mg & 500mg & 500mg Tab/Cap Pk
TPA
N/A
N/A
YES
NO
NO
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