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Products found: 1
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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
02425696
ICATIBANT
Firazyr (Off-Formulary Interchangeable) 30mg/3mL Inj Sol-Pref Syr 3mL Pk
TAK
2700.0000
1485.0000
YES
NO
NO
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