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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
02374811
ASENAPINE
Saphris 10mg SL Tab
OCI
1.5910
1.5910
NO
NO
YES
02374803
ASENAPINE
Saphris 5mg SL Tab
OCI
1.5910
1.5910
NO
NO
YES
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