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Products found: 2
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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
02243237
SIROLIMUS
Rapamune 1mg/mL O/L
WAY
9.6855
9.6855
NO
YES
NO
02247111
SIROLIMUS
Rapamune 1mg Tab
WAY
9.6855
9.6855
NO
YES
NO
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