DIN/PIN/NPN Detail

24:00 CARDIOVASCULAR DRUGS

24:06:00 ANTILIPEMIC DRUGS

Questran Light 4g Pk (Not a Benefit) (CHOLESTYRAMINE RESIN) Oral Pd-Pouch Pk

DIN/PIN/NPN:01918486

Interchangeables:

Manufacturer:

Formulary Listing Date:

2004-07-20

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status: