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Products found: 5
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DIN/ PIN/ NPN
Generic Name
Brand Name, Strength & Dosage Form
MFR
Drug Benefit Price or Unit Price
Amount MOH Pays
Interchangeable
Limited Use
Therapeutic Notes
02099683
5-AMINOSALICYLIC ACID
Pentasa 500mg Del-Release Tab
FEI
0.7770
0.7770
NO
NO
NO
02399466
5-AMINOSALICYLIC ACID
Pentasa 1g ER Tab
FEI
1.5540
1.5540
NO
NO
NO
02153521
5-AMINOSALICYLIC ACID
Pentasa 1g/100mL Enema
FEI
6.8600
6.8600
NO
NO
NO
02153556
5-AMINOSALICYLIC ACID
Pentasa 4g/100mL Enema
FEI
9.4700
9.4700
NO
NO
NO
02153564
5-AMINOSALICYLIC ACID
Pentasa 1g Sup
FEI
2.7020
2.7020
NO
NO
NO
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