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Products found: 8

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
02309122	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 0.25mg Tab	SIV	0.1950	0.1950	YES	NO	NO
02367602	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 0.25mg Tab	SAI	0.1950	0.1950	YES	NO	NO
02309130	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole (Off-Formulary Interchangeable) 0.5mg Tab	SIV	1.3860	N/A	YES	NO	NO
02367645	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 1.5mg Tab	SAI	0.3901	0.3901	YES	NO	NO
02309149	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 1mg Tab	SIV	0.3901	0.3901	YES	NO	NO
02367629	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 1mg Tab	SAI	0.3901	0.3901	YES	NO	NO
02309157	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole 1.5mg Tab	SIV	0.3901	0.3901	YES	NO	NO
02367610	PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE	Pramipexole (Off-Formulary Interchangeable) 0.5mg Tab	SAI	1.3860	N/A	YES	NO	NO