DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:12:28 ANTIBIOTICS OTHER ANTIBIOTICS

LU Criteria Text

Vancocin (VANCOMYCIN HCL)125mg Cap

DIN/PIN/NPN:00800430

Interchangeables:

Manufacturer:

Searchlight Pharma Inc.

Formulary Listing Date:

2016-12-22

Drug Benefit Price or Unit Price:

5.1800

Amount MOH Pays:

5.1800

Coverage Status:

Limited Use Product