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Products found: 3
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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
02530708
APIXABAN
Apixaban 2.5mg Tab
SIV
0.4084
0.4084
YES
YES
NO
02530716
APIXABAN
Apixaban 5mg Tab
SIV
0.4084
0.4084
YES
YES
NO
09858180
APIXABAN
Apixaban 2.5mg Tab
SIV
0.4084
0.4084
YES
YES
NO
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