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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
Interchangeable
Limited Use
Therapeutic Notes
02244982
BOSENTAN MONOHYDRATE
Tracleer (Off-Formulary Interchangeable) 125mg Tab
JAN
88.8725
32.0893
YES
NO
NO
02244981
BOSENTAN MONOHYDRATE
Tracleer (Off-Formulary Interchangeable) 62.5mg Tab
JAN
88.8725
32.0893
YES
NO
NO
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