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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
02436183
ZOLPIDEM TARTRATE
PMS-Zolpidem ODT (Off-Formulary Interchangeable) 10mg SL Tab
PMS
1.1883
N/A
YES
NO
NO
02436175
ZOLPIDEM TARTRATE
PMS-Zolpidem ODT (Off-Formulary Interchangeable) 5mg SL Tab
PMS
1.1827
N/A
YES
NO
NO
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