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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
00036323
DIPHENOXYLATE HYDROCHLORIDE & ATROPINE SULFATE
Lomotil 2.5mg & 0.025mg Tab
PFI
0.5583
0.5583
NO
YES
NO
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