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Products found: 1
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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
00045616
POLYVINYL ALCOHOL
Liquifilm Tears 1.4% Oph-Sol
ALL
0.6373
0.6373
NO
YES
NO
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