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Products found: 4

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
09857109	NUTRITIONAL PRODUCT	Jevity 1.2 Cal 1.2kcal/mL Liq-1000mL Pk	ABB	N/A	9.1300	NO	NO	NO
09857117	NUTRITIONAL PRODUCT	Jevity 1.2 Cal 1.2kcal/mL Liq-1500mL Pk	ABB	N/A	13.7000	NO	NO	NO
09854096	NUTRITIONAL PRODUCT	Jevity 1.2 Cal 1.2kcal/mL Liq-235mL Pk	ABB	N/A	2.1700	NO	NO	NO
09858383	NUTRITIONAL PRODUCT	Jevity 1.2 Cal 1.2kcal/mL Liq-237mL Reclosable Carton Pk	ABB	N/A	2.1842	NO	NO	NO