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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
09858157
NUTRITIONAL PRODUCT
Nutramigen Liquid Concentrate (Temporary Benefit) 68kcal/100mL Liq-384mL Can
MJC
8.3200
8.3200
NO
NO
NO
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