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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
02553805
OMALIZUMAB
Omlyclo 75mg/0.5mL Inj Sol-0.5mL Pref Syr Pk
CEI
168.7440
168.7440
NO
YES
NO
02553813
OMALIZUMAB
Omlyclo 150mg/mL Inj Sol-1mL Pref Syr Pk
CEI
384.9600
384.9600
NO
YES
NO
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