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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
02439611
INSULIN LISPRO
Humalog 200 units/mL KwikPen 200U/mL Inj Sol-Pref Pen 5x3mL Pk
LIL
127.3900
127.3900
NO
NO
YES
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