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Products found: 3

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
02490463	DAPTOMYCIN	Daptomycin for Injection (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol-Vial Pk	DRR	162.3500	162.3500	YES	NO	NO
02511738	DAPTOMYCIN	Daptomycin for Injection (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol-Vial Pk	JUN	162.3500	162.3500	YES	NO	NO
02490838	DAPTOMYCIN	Daptomycin for Injection (Off-Formulary Interchangeable) 500mg/Vial Pd for Inj Sol-Vial Pk	SDZ	162.3500	162.3500	YES	NO	NO