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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
Interchangeable
Limited Use
Therapeutic Notes
02540754
DIMETHYL FUMARATE
Auro-Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR Cap
AUR
8.6888
8.6888
YES
NO
NO
02540746
DIMETHYL FUMARATE
Auro-Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR Cap
AUR
4.4266
4.4266
YES
NO
NO
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