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Products found: 3New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02257882SUMATRIPTAN SUCCINATECo Sumatriptan (Off-Formulary Interchangeable) 25mg TabCOB8.99008.9900YESNONO
02257904SUMATRIPTAN SUCCINATECo Sumatriptan (Off-Formulary Interchangeable) 100mg TabCOB9.98679.9867YESNONO
02257890SUMATRIPTAN SUCCINATECo Sumatriptan (Off-Formulary Interchangeable) 50mg TabCOB9.06509.0650YESNONO
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