DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Acetazolamide (ACETAZOLAMIDE)250mg Tab

DIN/PIN/NPN:00545015

Interchangeables:

Manufacturer:

A A Pharma Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

0.1414

Amount MOH Pays:

0.1414

Coverage Status:

General Benefit