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DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02230621SODIUM CROMOGLYCATEOpticrom (Not a Benefit) 2% Oph SolALLN/AN/AYESNONO