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Products found: 4New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
00839191OCTREOTIDESandostatin 50mcg/mL Inj Sol - 1mL Amp PkNOV5.34404.0080YESNONO
00839205OCTREOTIDESandostatin 100mcg/mL Inj Sol - 1mL Amp PkNOV10.08807.5660YESNONO
00839213OCTREOTIDESandostatin (Not a Benefit) 500mcg/mL Inj Sol - 1mL Amp PkNOVN/AN/AYESNONO
02049392OCTREOTIDESandostatin 200mcg/mL Inj Sol - 5mL Vial PkNOV97.030072.7725YESNONO