DIN/PIN/NPN Detail
84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS
84:28:00 KERATOLYTIC AGENTS
LU Criteria Text
Stieva-A
(TRETINOIN)
0.05% Cr
DIN/PIN/NPN:
00518182
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Interchangeables:
YES
Manufacturer:
Stiefel Canada Inc.
Formulary Listing Date:
1996-10-01
Drug Benefit Price or Unit Price:
0.2144
Amount MOH Pays:
0.2144
Coverage Status:
Limited Use Product
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