DIN/PIN/NPN Detail |
|
| 56:00 GASTROINTESTINAL DRUGS | |
| 56:16:00 DIGESTANTS | LU Criteria Text |
Pancrease MT4 (PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE)4000 & 12000 & 12000 USP Units Ent Microsph Cap
DIN/PIN/NPN:00789445
| Interchangeables: | NO |
| Manufacturer: | Vivus Inc. |
| Formulary Listing Date: | 1996-10-01 |
| Drug Benefit Price or Unit Price: | 0.7274 |
| Amount MOH Pays: | 0.7274 |
| Coverage Status: |
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