DIN/PIN/NPN Detail

84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS

84:04:12 ANTI-INFECTIVES PARASITICIDES

Kwellada-P Lotion (PERMETHRIN)5% Lot

DIN/PIN/NPN:02231348

Interchangeables:

NO

Manufacturer:

MedTech Products Inc.

Formulary Listing Date:

1998-12-31

Drug Benefit Price or Unit Price:

0.5053

Amount MOH Pays:

0.5053

Coverage Status:

General Benefit