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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
09857310	NUTRITIONAL PRODUCT	Jevity 1.5 Cal 1.5kcal/mL Liq-1000mL Pk	ABB	N/A	11.5200	NO	NO	NO
09857312	NUTRITIONAL PRODUCT	Jevity 1.5 Cal 1.5kcal/mL Liq-1500mL Pk	ABB	N/A	17.2800	NO	NO	NO
09857344	NUTRITIONAL PRODUCT	Jevity 1.5 Cal 1.5kcal/mL Liq-235mL Pk	ABB	N/A	2.7025	NO	NO	NO