DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:40:00 MISCELLANEOUS G.I. DRUGS

Sulcrate Suspension Plus (SUCRALFATE)1g/5mL Oral Susp

DIN/PIN/NPN:02103567

Interchangeables:

NO

Manufacturer:

Axcan Pharma Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

0.1313

Amount MOH Pays:

0.1313

Coverage Status:

General Benefit