DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Soothe Night Time (PETROLATUM/MINERAL OIL)80%/20% Oph Oint-3.5g Pk

DIN/PIN/NPN:02125706

Interchangeables:

Manufacturer:

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

5.4800

Amount MOH Pays:

5.4800

Coverage Status: