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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
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
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
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