DIN/PIN/NPN Detail
08:00 ANTI-INFECTIVE AGENTS
08:12:04 ANTIBIOTICS ANTIFUNGALS
Sporanox
(ITRACONAZOLE)
100mg Cap
DIN/PIN/NPN:
02047454
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Interchangeables:
YES
Manufacturer:
Janssen Inc.
Formulary Listing Date:
1996-10-01
Drug Benefit Price or Unit Price:
6.6750
Amount MOH Pays:
3.9270
Coverage Status:
General Benefit
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