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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
02200104
PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE
Creon 10 10000 & 33200 & 37500 USP Units Ent Minimicrosph Cap
SPH
0.2891
0.2891
NO
YES
NO
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