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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
02529769
TICAGRELOR
M-Ticagrelor 90mg Tab
MAT
0.3960
0.3960
YES
YES
NO
02529750
TICAGRELOR
M-Ticagrelor (Off-Formulary Interchangeable) 60mg Tab
MAT
1.2844
N/A
YES
NO
NO
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