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Products found: 4
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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
02176009
TACROLIMUS
Prograf 5mg/mL Amp
ASE
128.2350
128.2350
NO
YES
NO
02175991
TACROLIMUS
Prograf 1mg Cap
ASE
2.5956
1.2978
YES
YES
NO
02175983
TACROLIMUS
Prograf 5mg Cap
ASE
12.9986
6.4993
YES
YES
NO
02243144
TACROLIMUS
Prograf 0.5mg Cap
ASE
2.0291
1.0146
YES
YES
NO
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