DIN/PIN/NPN Detail |
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| 52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS | |
| 52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS | LU Criteria Text |
Tears Naturale II (DEXTRAN 70 & HYDROXYPROPYL METHYLCELLULOSE & POLYQUAD)0.1%/0.3%/0.001% Oph-Sol
DIN/PIN/NPN:00743445
| Interchangeables: | NO |
| Manufacturer: | Alcon Canada Inc. |
| Formulary Listing Date: | 1996-10-01 |
| Drug Benefit Price or Unit Price: | 0.4387 |
| Amount MOH Pays: | 0.4387 |
| Coverage Status: |
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