DIN/PIN/NPN Detail
56:00 GASTROINTESTINAL DRUGS
56:12:00 CATHARTICS
PMS-Docusate Calcium
(DOCUSATE CALCIUM (DIOCTYL CALCIUM SULFOSUCCINATE))
240mg Cap
DIN/PIN/NPN:
00664553
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Interchangeables:
YES
Manufacturer:
Pharmascience Inc.
Formulary Listing Date:
1996-10-01
Drug Benefit Price or Unit Price:
0.1287
Amount MOH Pays:
0.1287
Coverage Status:
General Benefit
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