DIN/PIN/NPN Detail |
|
| 28:00 CENTRAL NERVOUS SYSTEM DRUGS | |
| 28:16:12 PSYCHOTHERAPEUTIC AGENTS OTHER PSYCHOTROPICS |
| Interchangeables: | YES |
| Manufacturer: | Searchlight Pharma Inc. |
| Formulary Listing Date: | 1996-10-01 |
| Drug Benefit Price or Unit Price: | 0.1892 |
| Amount MOH Pays: | 0.0667 |
| Coverage Status: |
|