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Products found: 1
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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
02279401
SILDENAFIL
Revatio (Off-Formulary Interchangeable) 20mg Tab
UJC
12.7431
7.2940
YES
NO
NO
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