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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
02488515
PIRFENIDONE
Sandoz Pirfenidone Tablets (Off-Formulary Interchangeable) 801mg Tab
SDZ
20.1360
20.1360
YES
NO
NO
02488507
PIRFENIDONE
Sandoz Pirfenidone Tablets (Off-Formulary Interchangeable) 267mg Tab
SDZ
6.7120
6.7120
YES
NO
NO
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