DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:16:00 LOCAL ANESTHETICS

Tantum (Not a Benefit) (BENZYDAMINE HCL)0.15% Oral Rinse

DIN/PIN/NPN:01966065

Interchangeables:

Manufacturer:

Graceway Pharmaceuticals

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status:

Not a Benefit