DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

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

Diamox (Not a Benefit) (ACETAZOLAMIDE)250mg Tab

DIN/PIN/NPN:02238072

Interchangeables:

Manufacturer:

Wyeth Pharmaceuticals

Formulary Listing Date:

2000-11-30

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status:

Not a Benefit