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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
02454297
ESCITALOPRAM
Act Escitalopram ODT 10mg Orally Disintegrating Tab
ACV
1.3199
1.3199
YES
NO
NO
02454300
ESCITALOPRAM
Act Escitalopram ODT 20mg Orally Disintegrating Tablet
ACV
1.4052
1.4052
YES
NO
NO
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