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Products found: 5

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
00884502	LEUPROLIDE ACETATE	Lupron Depot PDS 3.75mg Inj-Kit	ABB	389.1300	389.1300	NO	NO	NO
00836273	LEUPROLIDE ACETATE	Lupron Depot PDS 7.5mg Inj-Kit	ABB	387.9700	387.9700	NO	NO	NO
02239833	LEUPROLIDE ACETATE	Lupron Depot PDS 30mg Inj-Kit	ABB	1428.0000	1428.0000	NO	NO	NO
02230248	LEUPROLIDE ACETATE	Lupron Depot PDS 22.5mg Inj-Kit	ABB	1071.0000	1071.0000	NO	NO	NO
02239834	LEUPROLIDE ACETATE	Lupron Depot PDS 11.25mg Inj-Kit	ABB	1159.5200	1159.5200	NO	NO	NO