DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

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

Betagan (LEVOBUNOLOL HCL)0.5% Oph Sol

DIN/PIN/NPN:00637661

Interchangeables:

NO

Manufacturer:

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

3.8153

Amount MOH Pays:

3.8153

Coverage Status:

General Benefit