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Products found: 6

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
02439239	MIXED SALT AMPHETAMINE	Act Amphetamine XR 5mg ER Cap	ACV	0.5372	0.5372	YES	NO	YES
02439247	MIXED SALT AMPHETAMINE	Act Amphetamine XR 10mg ER Cap	ACV	0.6105	0.6105	YES	NO	YES
02439298	MIXED SALT AMPHETAMINE	Act Amphetamine XR 30mg ER Cap	ACV	0.9038	0.9038	YES	NO	YES
02439263	MIXED SALT AMPHETAMINE	Act Amphetamine XR 20mg ER Cap	ACV	0.7572	0.7572	YES	NO	YES
02439271	MIXED SALT AMPHETAMINE	Act Amphetamine XR 25mg ER Cap	ACV	0.8305	0.8305	YES	NO	YES
02439255	MIXED SALT AMPHETAMINE	Act Amphetamine XR 15mg ER Cap	ACV	0.6838	0.6838	YES	NO	YES