DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:04:00 CORTICOSTEROIDS

Dexamethasone Sodium (DEXAMETHASONE 21-PHOSPHATE)4mg/mL Inj Sol

DIN/PIN/NPN:01977547

Interchangeables:

Manufacturer:

Formulary Listing Date:

1996-12-19

Drug Benefit Price or Unit Price:

1.6900

Amount MOH Pays:

1.6900

Coverage Status:

General Benefit