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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
Interchangeable
Limited Use
Therapeutic Notes
02426196
HYDROCHLOROTHIAZIDE
Mint-Hydrochlorothiazide 25mg Tab
MIN
0.0157
0.0157
YES
NO
NO
02425947
HYDROCHLOROTHIAZIDE
Mint-Hydrochlorothiazide (Off-Formulary Interchangeable) 12.5mg Tab
MIN
0.0322
N/A
YES
NO
NO
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