DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:92:00 MISCELLANEOUS CENTRAL NERVOUS SYSTEM DRUGS

Sandomigran DS (PIZOTYLINE)1mg Tab

DIN/PIN/NPN:00511552

Interchangeables:

NO

Manufacturer:

Paladin Labs Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

1.1357

Amount MOH Pays:

1.1357

Coverage Status:

General Benefit