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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
Interchangeable
Limited Use
Therapeutic Notes
02554615
ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE
Apo-Butalbital-ASA-Caffeine-Codeine-C1/4 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 15mg Cap
APX
1.7363
N/A
YES
NO
YES
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