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Products found: 2
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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
02484757
MOXIFLOXACIN HYDROCHLORIDE
AG-Moxifloxacin (Off-Formulary Interchangeable) 0.5% Oph Sol-3mL Pk (Preservative-Free)
ANG
11.2700
N/A
YES
NO
NO
02478137
MOXIFLOXACIN HYDROCHLORIDE
AG-Moxifloxacin 400mg Tab
ANG
1.5230
1.5230
YES
NO
NO
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