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Products found: 2New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
09854479NUTRITIONAL PRODUCTJevity 1 Cal 1.06kcal/mL Liq-1500mL PkABBN/A12.2200NONONO
97984060NUTRITIONAL PRODUCTJevity 1 Cal 1.06kcal/mL Liq-235mL PkABBN/A1.9200NONONO