DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:04:04 ANTI-INFECTIVES ANTIBIOTICS

Soframycin (FRAMYCETIN SULFATE)0.5% Oph Sol

DIN/PIN/NPN:02224887

Interchangeables:

NO

Manufacturer:

Searchlight Pharma Inc.

Formulary Listing Date:

2005-09-27

Drug Benefit Price or Unit Price:

1.3663

Amount MOH Pays:

1.3663

Coverage Status:

General Benefit