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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
02459779
EVOLOCUMAB
Repatha 120mg/mL Inj Sol-Pref Cart of 3.5mL Pk
AMG
587.7500
587.7500
NO
YES
NO
02446057
EVOLOCUMAB
Repatha 140mg/mL Inj Sol-Pref Syr Autoinj
AMG
284.8300
284.8300
NO
YES
NO
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