DIN/PIN/NPN Detail |
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20:00 BLOOD FORMATION AND COAGULATION | |
20:12:00 COAGULANTS AND ANTI-COAGULANTS | LU Criteria Text |
Interchangeables: | NO |
Manufacturer: | Leo Pharma Inc. |
Formulary Listing Date: | 1998-12-31 |
Drug Benefit Price or Unit Price: | 29.1240 |
Amount MOH Pays: | 29.1240 |
Coverage Status: |
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