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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
Inter- change- able
Limited Use
Thera- peutic Notes
02422425
ZOLEDRONIC ACID
Zoledronic Acid for Inj. Concentrate (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)
DRR
415.5600
415.5600
YES
NO
NO
02413701
ZOLEDRONIC ACID
Zoledronic Acid for Inj. Concentrate (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)
OMG
415.0000
415.0000
YES
NO
NO
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