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Products found: 3
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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
02239888
EFAVIRENZ
Sustiva 200mg Cap
BQU
5.2228
5.2228
NO
NO
YES
02239886
EFAVIRENZ
Sustiva 50mg Cap
BQU
1.3050
1.3050
NO
NO
YES
02246045
EFAVIRENZ
Sustiva 600mg Tab
BQU
15.6683
3.8030
YES
NO
YES
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