DIN/PIN/NPN Detail

84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS

84:06:00 ANTI-INFLAMMATORY

Tridesilon (Not a Benefit) (DESONIDE)0.05% Oint

DIN/PIN/NPN:02154870

Interchangeables:

Manufacturer:

Clay-Park Labs Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status:

Not a Benefit