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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
02520028
ETHINYL ESTRADIOL & ETONOGESTREL
Haloette (Off-Formulary Interchangeable) 0.120mg & 0.015mg/24 hr Slow Release Vag Ring
SLP
14.2120
N/A
YES
NO
NO
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