DIN/PIN/NPN Detail |
|
| 84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | Therapeutic Note(s) |
| 84:04:08 ANTI-INFECTIVES FUNGICIDES |
| Interchangeables: | NO |
| Manufacturer: | WellSpring Pharmaceutical Canada Corp. |
| Formulary Listing Date: | 1996-10-01 |
| Drug Benefit Price or Unit Price: | 0.2970 |
| Amount MOH Pays: | 0.2970 |
| Coverage Status: |
|