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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
01916572
OXYCODONE HCL & ACETYLSALICYLIC ACID
Percodan (Not a Benefit) 5mg & 325mg Tab
BQU
N/A
N/A
YES
NO
YES
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