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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
Interchangeable
Limited Use
Therapeutic Notes
02417456
NORETHINDRONE ACETATE/ETHINYL ESTRADIOL & ETHINYL ESTRADIOL
Lolo (Off-Formulary Interchangeable) 1mg/10mcg & 10mcg Tab-28 Tab Pk
ABV
N/A
N/A
YES
NO
NO
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