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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
Interchangeable
Limited Use
Therapeutic Notes
02511274
ELETRIPTAN
Eletriptan (Off-Formulary Interchangeable) 40mg Tab
SAI
10.0850
N/A
YES
NO
NO
02511266
ELETRIPTAN
Eletriptan (Off-Formulary Interchangeable) 20mg Tab
SAI
10.0850
N/A
YES
NO
NO
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