DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
Prolopa 100-25
(LEVODOPA & BENSERAZIDE)
100mg & 25mg Cap
DIN/PIN/NPN:
00386464
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Interchangeables:
NO
Manufacturer:
Hoffmann-La Roche Limited
Formulary Listing Date:
1996-10-01
Drug Benefit Price or Unit Price:
0.5528
Amount MOH Pays:
0.5528
Coverage Status:
General Benefit
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