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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
02497034
DIMETHYL FUMARATE
PMS-Dimethyl Fumarate (Off-Formulary Interchangeable) 240mg DR Cap
PMS
18.3867
18.3867
YES
NO
NO
02497026
DIMETHYL FUMARATE
PMS-Dimethyl Fumarate (Off-Formulary Interchangeable) 120mg DR Cap
PMS
9.1933
9.1933
YES
NO
NO
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