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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
02454394
ERLOTINIB
PMS-Erlotinib (Off-Formulary Interchangeable) 150mg Tab
PMS
71.2000
71.2000
YES
NO
NO
02454386
ERLOTINIB
PMS-Erlotinib (Off-Formulary Interchangeable) 100mg Tab
PMS
47.4667
47.4667
YES
NO
NO
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