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Products found: 3

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
02212161	SUMATRIPTAN SUCCINATE	Imitrex DF (Off-Formulary Interchangeable) 100mg Tab	GSK	21.7933	9.9866	YES	NO	NO
02212153	SUMATRIPTAN SUCCINATE	Imitrex DF (Off-Formulary Interchangeable) 50mg Tab	GSK	19.7817	9.0650	YES	NO	NO
02239738	SUMATRIPTAN SUCCINATE	Imitrex DF (Off-Formulary Interchangeable) 25mg Tab	GSK	N/A	N/A	YES	NO	NO