DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:24:00 MYDRIATICS

Isopto Atropine (ATROPINE SULFATE)1% Oph Sol

DIN/PIN/NPN:00035017

Interchangeables:

Manufacturer:

Alcon Canada Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

0.8420

Amount MOH Pays:

0.5490

Coverage Status:

General Benefit