DIN/PIN/NPN Detail |
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DIN/PIN/NPN Detail |
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| 12:00 AUTONOMIC AGENTS | |
| 12:12:00 SYMPATHOMIMETIC (ADRENERGIC) AGENTS | LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | Pharmascience Inc. |
| Formulary Listing Date: | 1997-04-10 |
| Drug Benefit Price or Unit Price: | 0.3617 |
| Amount MOH Pays: | 0.3617 |
| Coverage Status: |
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