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Products found: 5
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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
02516101
DILTIAZEM HCL
Diltiazem T 120mg SR Cap
SAI
0.2133
0.2133
YES
NO
NO
02516128
DILTIAZEM HCL
Diltiazem T 180mg SR Cap
SAI
0.2889
0.2889
YES
NO
NO
02516152
DILTIAZEM HCL
Diltiazem T 360mg SR Cap
SAI
0.5778
0.5778
YES
NO
NO
02516144
DILTIAZEM HCL
Diltiazem T 300mg SR Cap
SAI
0.4720
0.4720
YES
NO
NO
02516136
DILTIAZEM HCL
Diltiazem T 240mg SR Cap
SAI
0.3832
0.3832
YES
NO
NO
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