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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
02448327
DEXTROAMPHETAMINE SULFATE
Act Dextroamphetamine SR 15mg SR Cap
ACV
0.9898
0.9898
YES
NO
YES
02448319
DEXTROAMPHETAMINE SULFATE
Act Dextroamphetamine SR 10mg SR Cap
ACV
0.8096
0.8096
YES
NO
YES
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