DIN/PIN/NPN Detail
84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS
84:28:00 KERATOLYTIC AGENTS
Panoxyl
(BENZOYL PEROXIDE IN ALCOHOL-CONTAINING GEL)
10% Gel
DIN/PIN/NPN:
00263699
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Interchangeables:
NO
Manufacturer:
Stiefel Canada Inc.
Formulary Listing Date:
1996-10-01
Drug Benefit Price or Unit Price:
0.1458
Amount MOH Pays:
0.1458
Coverage Status:
General Benefit
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