DIN/PIN/NPN Detail |
|
DIN/PIN/NPN Detail |
|
| 84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | |
| 84:04:16 ANTI-INFECTIVES OTHER ANTI-INFECTIVES |
| Interchangeables: | NO |
| Manufacturer: | Sanofi Aventis Pharma |
| Formulary Listing Date: | 1996-10-01 |
| Drug Benefit Price or Unit Price: | 3.5610 |
| Amount MOH Pays: | 3.5610 |
| Coverage Status: |
|