DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES

Synphasic (ETHINYL ESTRADIOL & NORETHINDRONE)3 Phase Tab-28 Pk

DIN/PIN/NPN:02187116

Interchangeables:

Manufacturer:

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

13.6400

Amount MOH Pays:

13.6400

Coverage Status: