DIN/PIN/NPN Detail |
|
| 84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | |
| 84:04:04 ANTI-INFECTIVES ANTIBIOTICS |
| Interchangeables: | NO |
| Manufacturer: | Leo Pharma Inc. |
| Formulary Listing Date: | 1996-10-01 |
| Drug Benefit Price or Unit Price: | 1.0950 |
| Amount MOH Pays: | 1.0950 |
| Coverage Status: |
|