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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
02503123
FLUTICASONE PROPIONATE
PMS-Fluticasone HFA 125mcg/Metered Dose Inh-120 Dose Pk
PMS
23.4100
23.4100
YES
NO
NO
02503115
FLUTICASONE PROPIONATE
PMS-Fluticasone HFA 50mcg/Metered Dose Inh-120 Dose Pk
PMS
21.3150
21.3150
YES
NO
NO
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