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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
02405806
ALMOTRIPTAN
Apo-Almotriptan (Off-Formulary Interchangeable) 12.5mg Tab
APX
9.7833
9.7833
YES
NO
NO
02405792
ALMOTRIPTAN
Apo-Almotriptan (Off-Formulary Interchangeable) 6.25mg Tab
APX
9.7833
9.7833
YES
NO
NO
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