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Products found: 3
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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
02238162
DIAZEPAM
Diastat 5mg/mL Rect Gel-2x 5mg Pk
VAL
209.2190
209.2190
NO
NO
NO
09853340
DIAZEPAM
Diastat 5mg/mL Rect Gel-2x10mg Pk
VAL
209.2190
209.2190
NO
NO
NO
09853430
DIAZEPAM
Diastat 5mg/mL Rect Gel-2x15mg Pk
VAL
209.2190
209.2190
NO
NO
NO
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