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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
Inter- change- able
Limited Use
Thera- peutic Notes
09858317
NITROGLYCERIN
Nitrolingual Pumpspray (Temporary Benefit) 0.4mg/Metered Dose Sp-180 Dose Pk
JUN
8.4200
8.4200
NO
NO
NO
09858327
NITROGLYCERIN
Nitrolingual Pumpspray (Temporary Benefit) 0.4mg/Metered Dose Sp-75 Dose Pk
SAC
9.4000
9.4000
NO
NO
NO
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