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Products found: 3

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
00067385	DIPYRIDAMOLE	Persantine (Off-Formulary Interchangeable) 25mg Tab	BOE	N/A	N/A	YES	NO	NO
00452092	DIPYRIDAMOLE	Persantine (Off-Formulary Interchangeable) 75mg Tab	BOE	N/A	N/A	YES	NO	NO
00067393	DIPYRIDAMOLE	Persantine (Off-Formulary Interchangeable) 50mg Tab	BOE	N/A	N/A	YES	NO	NO