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DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
01916580HYDROCODONE BITARTRATEHycodan (Not a Benefit) 1mg/mL O/LBQUN/AN/AYESNONO