DIN/PIN/NPN Detail |
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20:00 BLOOD FORMATION AND COAGULATION | |
20:24:00 HEMORRHEOLOGIC AGENTS | LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | A A Pharma Inc. |
Formulary Listing Date: | 1997-08-28 |
Drug Benefit Price or Unit Price: | 0.7238 |
Amount MOH Pays: | 0.7238 |
Coverage Status: |
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