DIN/PIN/NPN Detail |
|
| 52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS | |
| 52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS |
| Interchangeables: | YES |
| Manufacturer: | Pendopharm, Division of Pharmascience Inc. |
| Formulary Listing Date: | 1996-10-01 |
| Drug Benefit Price or Unit Price: | 0.9500 |
| Amount MOH Pays: | 0.9500 |
| Coverage Status: |
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