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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
09857126
NUTRITIONAL PRODUCT
Peptamen 1.5 1.5kcal/mL Liq-1000mL Pk
NES
N/A
52.8900
NO
NO
NO
09853090
NUTRITIONAL PRODUCT
Peptamen 1.5 1.5kcal/mL Liq-250mL Pk
NES
N/A
13.2225
NO
NO
NO
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