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DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
00074454FLUMETHASONE PIVALATE & IODOCHLORHYDROXYQUINLocacorten-Vioform 0.02% & 1% Ot SolPAL2.50272.5027NONOYES