DIN/PIN/NPN Detail

24:00 CARDIOVASCULAR DRUGS

24:06:00 ANTILIPEMIC DRUGS

Olestyr 4g/5g Pk (CHOLESTYRAMINE RESIN) Oral Pd-Pouch Pk

DIN/PIN/NPN:00890960

Interchangeables:

Manufacturer:

Pharmascience Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

0.3693

Amount MOH Pays:

0.3693

Coverage Status:

General Benefit