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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
02444186
FLUTICASONE FUROATE & VILANTEROL
Breo Ellipta 200mcg & 25mcg Blister Pd Inh-30 Dose Pk
GSK
162.4700
162.4700
NO
YES
NO
02408872
FLUTICASONE FUROATE & VILANTEROL
Breo Ellipta 100mcg & 25mcg Blister Pd Inh-30 Dose Pk
GSK
104.4400
104.4400
NO
YES
NO
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