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Products found: 3
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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
02312433
DABIGATRAN ETEXILATE
Pradaxa (Off-Formulary Interchangeable) 75mg Cap
BOE
N/A
N/A
YES
NO
NO
02358808
DABIGATRAN ETEXILATE
Pradaxa 150mg Cap
BOE
1.7310
1.2540
YES
NO
NO
02312441
DABIGATRAN ETEXILATE
Pradaxa 110mg Cap
BOE
1.7310
1.2540
YES
NO
NO
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