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Products found: 4
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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
02112787
5-AMINOSALICYLIC ACID
Salofalk 500mg Ent Tab
BFI
0.7050
0.7050
NO
NO
NO
02112809
5-AMINOSALICYLIC ACID
Salofalk 4g Rect Susp-Pk
BFI
9.2100
9.2100
NO
NO
NO
02112760
5-AMINOSALICYLIC ACID
Salofalk 500mg Sup
BFI
1.7337
1.7337
NO
NO
NO
02242146
5-AMINOSALICYLIC ACID
Salofalk 1000mg Sup
BFI
2.5463
2.5463
NO
NO
NO
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