DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:24:00 MYDRIATICS

Atropine (ATROPINE SULFATE)1% Oph Sol

DIN/PIN/NPN:02023695

Interchangeables:

Manufacturer:

Pharma Stulln Inc.

Formulary Listing Date:

2020-07-31

Drug Benefit Price or Unit Price:

0.5490

Amount MOH Pays:

0.5490

Coverage Status:

General Benefit