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Products found: 6
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DIN/ PIN/ NPN
Generic Name
Brand Name, Strength & Dosage Form
MFR
Drug Benefit Price or Unit Price
Amount MOH Pays
Interchangeable
Limited Use
Therapeutic Notes
02551012
SEMAGLUTIDE
Rybelsus 1.5mg Tab
NOO
7.5303
7.5303
NO
YES
NO
02497581
SEMAGLUTIDE
Rybelsus 3mg Tab
NOO
7.5303
7.5303
NO
YES
NO
02497611
SEMAGLUTIDE
Rybelsus 14mg Tab
NOO
7.5303
7.5303
NO
YES
NO
02497603
SEMAGLUTIDE
Rybelsus 7mg Tab
NOO
7.5303
7.5303
NO
YES
NO
02551039
SEMAGLUTIDE
Rybelsus 9mg Tab
NOO
7.5303
7.5303
NO
YES
NO
02551020
SEMAGLUTIDE
Rybelsus 4mg Tab
NOO
7.5303
7.5303
NO
YES
NO
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