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Products found: 4
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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
02286076
FLUOXETINE HCL
Fluoxetine 20mg Cap
SAI
0.3311
0.3311
YES
NO
YES
02374447
FLUOXETINE HCL
Fluoxetine (Off-Formulary Interchangeable) 10mg Cap
SIV
1.1773
N/A
YES
NO
YES
02286068
FLUOXETINE HCL
Fluoxetine (Off-Formulary Interchangeable) 10mg Cap
SAI
1.1773
N/A
YES
NO
YES
02374455
FLUOXETINE HCL
Fluoxetine 20mg Cap
SIV
0.3311
0.3311
YES
NO
YES
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