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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
02240297
INSULIN LISPRO & INSULIN LISPRO PROTAMINE
Humalog Mix50 50% & 50% Inj Susp-5x3mL Pk
LIL
68.6800
68.6800
NO
NO
NO
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