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Products found: 2
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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
02456117
ABOBOTULINUM TOXIN A
Dysport Therapeutic 500U/Vial Pd Inj-Vial Pk
IPS
642.6000
642.6000
NO
YES
NO
02460203
ABOBOTULINUM TOXIN A
Dysport Therapeutic 300U/Vial Pd Inj-Vial Pk
IPS
385.5600
385.5600
NO
YES
NO
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