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Products found: 4

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
02330385	MONTELUKAST SODIUM	Sandoz Montelukast 4mg Chew Tab	SDZ	0.2758	0.2758	YES	YES	NO
02330393	MONTELUKAST SODIUM	Sandoz Montelukast (Off-Formulary Interchangeable) 5mg Chew Tab	SDZ	1.2075	1.2075	YES	NO	NO
02358611	MONTELUKAST SODIUM	Sandoz Montelukast (Off-Formulary Interchangeable) 4mg Gran Pk	SDZ	1.3440	N/A	YES	NO	NO
02328593	MONTELUKAST SODIUM	Sandoz Montelukast (Off-Formulary Interchangeable) 10mg Tab	SDZ	1.7735	1.7735	YES	NO	NO