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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
02287420
DEFERASIROX
Exjade 125mg Tab for Susp
NOV
11.0375
5.2408
YES
NO
NO
02287447
DEFERASIROX
Exjade 500mg Tab for Susp
NOV
44.1507
20.9649
YES
NO
NO
02287439
DEFERASIROX
Exjade 250mg Tab for Susp
NOV
22.0757
10.4820
YES
NO
NO
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