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Products found: 1
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DIN/ PIN/ NPN
Generic Name
Brand Name, Strength & Dosage Form
MFR
Drug Benefit Price or Unit Price
Amount MOH Pays
Interchangeable
Limited Use
Therapeutic Notes
02532387
SUMATRIPTAN SUCCINATE
Sumatriptan Injection, USP (Off-Formulary Interchangeable) 6mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk
DRR
42.4650
42.4650
YES
NO
NO
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