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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
09857564
NUTRITIONAL PRODUCT
Similac Alimentum 5.17Kcal/g Pd-400g Can Pk
ABB
N/A
16.4700
NO
NO
NO
09858158
NUTRITIONAL PRODUCT
Similac Alimentum (Temporary Benefit) 0.677kcal/mL Pd-946mL Bottle
ABB
5.6278
5.6278
NO
NO
NO
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