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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
02207656
ACYCLOVIR
Apo-Acyclovir 800mg Tab
APX
1.2673
1.2673
YES
NO
NO
02207621
ACYCLOVIR
Apo-Acyclovir 200mg Tab
APX
0.3511
0.3511
YES
NO
NO
02207648
ACYCLOVIR
Apo-Acyclovir 400mg Tab
APX
0.8890
0.8890
YES
NO
NO
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