DIN/PIN/NPN Detail |
|
| 28:00 CENTRAL NERVOUS SYSTEM DRUGS | Therapeutic Note(s) |
| 28:08:08 ANALGESICS OPIATE AGONISTS | LU Criteria Text |
| Interchangeables: | NO |
| Manufacturer: | Purdue Pharma |
| Formulary Listing Date: | 2002-04-04 |
| Drug Benefit Price or Unit Price: | 1.9580 |
| Amount MOH Pays: | 1.9580 |
| Coverage Status: |
|