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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
Inter- change- able
Limited Use
Thera- peutic Notes
02474522
FLUTICASONE FUROATE & UMECLIDINIUM BROMIDE & VILANTEROL TRIFENATATE
Trelegy Ellipta 100mcg & 62.5mcg & 25mcg Pd Inh-30 Dose Pk
GSK
137.6700
137.6700
NO
YES
YES
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