DIN/PIN/NPN Detail

40:00 ELECTROLYTIC, CALORIC AND WATER BALANCE

40:12:00 REPLACEMENT AGENTS

Colyte (Not a Benefit) (PEG-ELECTROLYTES) Pd-4L Pk

DIN/PIN/NPN:00677442

Interchangeables:

Manufacturer:

Pendopharm, Division of Pharmascience Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status:

Not a Benefit