DIN/PIN/NPN Detail
68:00 HORMONES AND SUBSTITUTES
68:28:00 PITUITARY AGENTS
DDAVP
(DESMOPRESSIN ACETATE)
0.1mg/mL Nas Sol-2.5mL Pk
DIN/PIN/NPN:
00402516
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Interchangeables:
NO
Manufacturer:
Ferring Inc.
Formulary Listing Date:
1996-10-01
Drug Benefit Price or Unit Price:
52.0375
Amount MOH Pays:
52.0375
Coverage Status:
General Benefit
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