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Products found: 3New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02239738SUMATRIPTAN SUCCINATEImitrex DF (Off-Formulary Interchangeable) 25mg TabGSKN/AN/AYESNONO
02212161SUMATRIPTAN SUCCINATEImitrex DF (Off-Formulary Interchangeable) 100mg TabGSK19.61679.9866YESNONO
02212153SUMATRIPTAN SUCCINATEImitrex DF (Off-Formulary Interchangeable) 50mg TabGSK17.80679.0650YESNONO
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