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Products found: 4
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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
02464640
FLUOXETINE HCL
PMS-Fluoxetine 40mg Cap
PMS
0.6622
0.6622
NO
NO
YES
02177587
FLUOXETINE HCL
PMS-Fluoxetine 20mg Cap
PMS
0.3311
0.3311
YES
NO
YES
02177579
FLUOXETINE HCL
PMS-Fluoxetine (Off-Formulary Interchangeable) 10mg Cap
PMS
1.1773
N/A
YES
NO
YES
02464659
FLUOXETINE HCL
PMS-Fluoxetine 60mg Cap
PMS
0.9933
0.9933
NO
NO
YES
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