DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:92:00 MISCELLANEOUS CENTRAL NERVOUS SYSTEM DRUGS

Imitrex (SUMATRIPTAN SUCCINATE)6mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk

DIN/PIN/NPN:02212188

Interchangeables:

Manufacturer:

Formulary Listing Date:

2013-04-30

Drug Benefit Price or Unit Price:

49.9600

Amount MOH Pays:

36.5888

Coverage Status: