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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
02018985
FLUOXETINE HCL
Prozac (Off-Formulary Interchangeable) 10mg Cap
LIL
N/A
N/A
YES
NO
YES
00636622
FLUOXETINE HCL
Prozac 20mg Cap
LIL
2.2570
0.3311
YES
NO
YES
01917021
FLUOXETINE HCL
Prozac (Not a Benefit) 20mg/5mL Oral Sol
LIL
N/A
N/A
YES
NO
YES
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