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DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02501244INDACATEROL ACETATE & GLYCOPYRRONIUM BROMIDE & MOMETASONE FUROATEEnerzair Breezhaler 150mcg & 50mcg & 160mcg Inh Pd-CapNOV3.42773.4277NOYESNO