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Products found: 4
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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
02247732
METHYLPHENIDATE HCL
Concerta 18mg SR Tab
JAN
3.2222
1.0493
YES
NO
YES
02247734
METHYLPHENIDATE HCL
Concerta 54mg SR Tab
JAN
5.2076
1.6958
YES
NO
YES
02247733
METHYLPHENIDATE HCL
Concerta 36mg SR Tab
JAN
4.2151
1.3726
YES
NO
YES
02250241
METHYLPHENIDATE HCL
Concerta 27mg SR Tab
JAN
3.7186
1.2109
YES
NO
YES
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