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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
00851744
MOMETASONE FUROATE
Elocom 0.1% Cr
OCI
0.7393
0.5542
YES
NO
NO
00871095
MOMETASONE FUROATE
Elocom 0.1% Lot
OCI
0.5255
0.3627
YES
NO
NO
00851736
MOMETASONE FUROATE
Elocom 0.1% Oint
OCI
0.7342
0.2252
YES
NO
NO
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