DIN/PIN/NPN Detail |
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DIN/PIN/NPN Detail |
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| 84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | |
| 84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS |
| Interchangeables: | NO |
| Manufacturer: | Smith & Nephew Inc. |
| Formulary Listing Date: | 1998-12-31 |
| Drug Benefit Price or Unit Price: | 87.5000 |
| Amount MOH Pays: | 87.5000 |
| Coverage Status: |
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