DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES

Diane-35 (CYPROTERONE ACETATE & ETHINYL ESTRADIOL)2mg & 0.035mg Tab-21 Pk

DIN/PIN/NPN:02233542

Interchangeables:

Manufacturer:

Formulary Listing Date:

2007-12-19

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status: