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Products found: 4

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
02237145	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Mirapex 0.25mg Tab	BOE	1.2915	0.1950	YES	NO	NO
09857270	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Mirapex (Not a Benefit) 1.5mg Tab	BOE	N/A	N/A	YES	NO	NO
09857269	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Mirapex (Not a Benefit) 1mg Tab	BOE	N/A	N/A	YES	NO	NO
02241594	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Mirapex (Off-Formulary Interchangeable) 0.5mg Tab	BOE	N/A	N/A	YES	NO	NO