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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
02354985
MONTELUKAST SODIUM
PMS-Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab
PMS
1.2075
1.2075
YES
NO
NO
02354977
MONTELUKAST SODIUM
PMS-Montelukast 4mg Chew Tab
PMS
0.2758
0.2758
YES
YES
NO
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