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Products found: 3New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02256428SUMATRIPTAN SUCCINATEPMS-Sumatriptan (Off-Formulary Interchangeable) 25mg TabPMS8.99008.9900YESNONO
02256444SUMATRIPTAN SUCCINATEPMS-Sumatriptan (Off-Formulary Interchangeable) 100mg TabPMS9.98679.9867YESNONO
02256436SUMATRIPTAN SUCCINATEPMS-Sumatriptan (Off-Formulary Interchangeable) 50mg TabPMS9.06509.0650YESNONO