DIN/PIN/NPN Detail |
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DIN/PIN/NPN Detail |
|
| 84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | Therapeutic Note(s) |
| 84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS |
| Interchangeables: | YES |
| Manufacturer: | Allergan Inc. |
| Formulary Listing Date: | 1996-10-01 |
| Drug Benefit Price or Unit Price: | 5.4817 |
| Amount MOH Pays: | 2.2770 |
| Coverage Status: |
|