DIN/PIN/NPN Detail

84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS

84:04:12 ANTI-INFECTIVES PARASITICIDES

Kwellada-P Creme Rinse (PERMETHRIN)1% Cr Rinse

DIN/PIN/NPN:02231480

Interchangeables:

NO

Manufacturer:

MedTech Products Inc.

Formulary Listing Date:

2000-01-17

Drug Benefit Price or Unit Price:

0.1749

Amount MOH Pays:

0.1749

Coverage Status:

General Benefit