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Products found: 5

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
01981501	BOTULINUM TOXIN TYPE A	Botox 100U/Vial Pd Inj-100U Vial Pk	ABV	374.8500	374.8500	NO	YES	NO
09857387	BOTULINUM TOXIN TYPE A	Botox 200U/Vial Pd Inj-200U Vial Pk	ABV	749.7000	749.7000	NO	YES	NO
02531585	BOTULINUM TOXIN TYPE A	Botox 200U/Vial Pd Inj-200U Vial Pk	ABV	749.7000	749.7000	NO	YES	NO
09857386	BOTULINUM TOXIN TYPE A	Botox 50U/Vial Pd Inj-50U Vial Pk	ABV	187.4300	187.4300	NO	YES	NO
02531577	BOTULINUM TOXIN TYPE A	Botox 50U/Vial Pd Inj-50U Vial Pk	ABV	187.4300	187.4300	NO	YES	NO