DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:20:00 MIOTICS

Pilocarpine (Not a Benefit) (PILOCARPINE HCL)2% Oph Sol

DIN/PIN/NPN:02023741

Interchangeables:

Manufacturer:

Pharma Stulln Inc.

Formulary Listing Date:

1999-04-15

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status:

Not a Benefit