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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
02240113
DORZOLAMIDE HCL & TIMOLOL MALEATE
Cosopt 2% & 0.5% Oph Sol
ELV
9.6613
2.0951
YES
YES
NO
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