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Products found: 3New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02286815SUMATRIPTAN SUCCINATETeva-Sumatriptan DF (Off-Formulary Interchangeable) 25mg TabTEV8.9900N/AYESNONO
02286831SUMATRIPTAN SUCCINATETeva-Sumatriptan DF (Off-Formulary Interchangeable) 100mg TabTEV9.98669.9866YESNONO
02286823SUMATRIPTAN SUCCINATETeva-Sumatriptan DF (Off-Formulary Interchangeable) 50mg TabTEV9.06509.0650YESNONO