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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
02361760
MOMETASONE FUROATE & FORMOTEROL FUMARATE DIHYDRATE
Zenhale 200mcg & 5mcg Metered Dose Inh-120 Dose Pk
OCI
157.3900
157.3900
NO
YES
NO
02361752
MOMETASONE FUROATE & FORMOTEROL FUMARATE DIHYDRATE
Zenhale 100mcg & 5mcg Metered Dose Inh-120 Dose Pk
OCI
129.8900
129.8900
NO
YES
NO
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