DIN/PIN/NPN Detail |
![]() |
52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS | Therapeutic Note(s) |
52:04:04 ANTI-INFECTIVES ANTIBIOTICS |
Sofracort (FRAMYCETIN SULFATE & GRAMICIDIN & DEXAMETHASONE)5mg & 50mcg & 0.5mg/mL Oph/Ot Sol
DIN/PIN/NPN:02224623
Interchangeables: | NO |
Manufacturer: | Sanofi Aventis Pharma |
Formulary Listing Date: | 2001-10-11 |
Drug Benefit Price or Unit Price: | 2.1263 |
Amount MOH Pays: | 2.1263 |
Coverage Status: |
|