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Products found: 2
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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
00297143
ETHINYL ESTRADIOL & NORETHINDRONE ACETATE
Loestrin 1.5/30 0.03mg & 1.5mg Tab-21 Pk
WAR
16.9915
16.9915
NO
NO
NO
00353027
ETHINYL ESTRADIOL & NORETHINDRONE ACETATE
Loestrin 1.5/30 0.03mg & 1.5mg Tab-28 Pk
WAR
16.9915
16.9915
NO
NO
NO
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