DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:12:04 ANTIBIOTICS ANTIFUNGALS

Sporanox (ITRACONAZOLE)100mg Cap

DIN/PIN/NPN:02047454

Interchangeables:

Manufacturer:

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

6.6750

Amount MOH Pays:

3.9270

Coverage Status:

General Benefit