DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Opticrom (SODIUM CROMOGLYCATE)2% Oph Sol

DIN/PIN/NPN:02230621

Interchangeables:

Manufacturer:

Formulary Listing Date:

1998-02-17

Drug Benefit Price or Unit Price:

1.0280

Amount MOH Pays:

0.9500

Coverage Status:

Discontinued Drug
General Benefit