DIN/PIN/NPN Detail

84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS

84:04:16 ANTI-INFECTIVES OTHER ANTI-INFECTIVES

Flagystatin (METRONIDAZOLE & NYSTATIN)500mg & 100000U/g Vag Cr-App

DIN/PIN/NPN:01926845

Interchangeables:

Manufacturer:

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

0.6076

Amount MOH Pays:

0.6076

Coverage Status: