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Products found: 3
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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
02305682
FAMCICLOVIR
Co Famciclovir (Off-Formulary Interchangeable) 125mg Tab
COB
2.0240
2.0240
YES
NO
NO
02305704
FAMCICLOVIR
Co Famciclovir 500mg Tab
COB
3.8719
3.8719
YES
YES
NO
02305690
FAMCICLOVIR
Co Famciclovir (Off-Formulary Interchangeable) 250mg Tab
COB
2.7200
2.7200
YES
NO
NO
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