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Products found: 3
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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
02458640
EDOXABAN
Lixiana 15mg Tab
SEV
2.9393
2.9393
NO
NO
NO
02458667
EDOXABAN
Lixiana 60mg Tab
SEV
2.9393
2.9393
NO
NO
NO
02458659
EDOXABAN
Lixiana 30mg Tab
SEV
2.9393
2.9393
NO
NO
NO
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