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Products found: 1
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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
02236975
ETHINYL ESTRADIOL & LEVONORGESTREL
Alesse 28 20mcg & 100mcg Tab-28 Pk
PFI
15.7700
3.9425
YES
NO
NO
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