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DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02518058BUDESONIDE&GLYCOPYRRONIUM (GLYCOPYRRONIUM BROMIDE)&FORMOTEROL FUMARATE DIHYDRATEBreztri Aerosphere 160mcg & 7.2mcg & 5mcg/Act Metered Dose Inh-120 Dose PkAZC127.0000127.0000NOYESNO