DIN/PIN/NPN Detail

84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS

84:28:00 KERATOLYTIC AGENTS

LU Criteria Text

Vitamin A Acid (TRETINOIN)0.01% Gel

DIN/PIN/NPN:01926462

Interchangeables:

NO

Manufacturer:

Valeant Canada Ltd.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

0.4266

Amount MOH Pays:

0.4266

Coverage Status:

Limited Use Product