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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
02213265
CLOBETASOL PROPIONATE
Dermovate 0.05% Cr
TPH
0.9674
0.2279
YES
NO
YES
02213273
CLOBETASOL PROPIONATE
Dermovate 0.05% Oint
TPH
0.9674
0.2279
YES
NO
YES
02213281
CLOBETASOL PROPIONATE
Dermovate 0.05% Scalp Lot
TPH
0.7759
0.1990
YES
NO
YES
02242984
HYDROCORTISONE VALERATE
Hydroval 0.2% Cr
TPH
0.1667
0.1667
YES
NO
NO
02242985
HYDROCORTISONE VALERATE
Hydroval 0.2% Oint
TPH
0.1667
0.1667
YES
NO
NO
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