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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
02361833
ELTROMBOPAG OLAMINE
Revolade (Off-Formulary Interchangeable) 50mg Tab
GSK
130.0000
110.5000
YES
NO
NO
02361825
ELTROMBOPAG OLAMINE
Revolade (Off-Formulary Interchangeable) 25mg Tab
GSK
65.0000
55.2500
YES
NO
NO
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