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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
00013277
DIAZEPAM
Valium (Not a Benefit) 2mg Tab
HLR
N/A
N/A
YES
NO
NO
00013293
DIAZEPAM
Valium (Not a Benefit) 10mg Tab
HLR
N/A
N/A
YES
NO
NO
00013285
DIAZEPAM
Valium (Not a Benefit) 5mg Tab
HLR
N/A
N/A
YES
NO
NO
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