DIN/PIN/NPN Detail
08:00 ANTI-INFECTIVE AGENTS
08:18:00 ANTIVIRALS
Valtrex
(VALACYCLOVIR)
500mg Tab
DIN/PIN/NPN:
02219492
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Interchangeables:
YES
Manufacturer:
GlaxoSmithKline Inc., GlaxoSmithKline Consumer Health Care
Formulary Listing Date:
1996-12-19
Drug Benefit Price or Unit Price:
4.3143
Amount MOH Pays:
0.6198
Coverage Status:
General Benefit
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