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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
02286548
SUMATRIPTAN SUCCINATE
Sumatriptan (Off-Formulary Interchangeable) 100mg Tab
SAI
9.9867
9.9867
YES
NO
NO
02286521
SUMATRIPTAN SUCCINATE
Sumatriptan (Off-Formulary Interchangeable) 50mg Tab
SAI
9.0650
9.0650
YES
NO
NO
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