DIN/PIN/NPN Detail |
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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS | |
52:04:04 ANTI-INFECTIVES ANTIBIOTICS |
Polysporin Eye and Ear Drops Sterile (POLYMYXIN B SULFATE & GRAMICIDIN)10000U & 0.025mg/mL Oph/Ot Sol
DIN/PIN/NPN:02239156
Interchangeables: | NO |
Manufacturer: | Johnson & Johnson Inc |
Formulary Listing Date: | 2007-01-02 |
Drug Benefit Price or Unit Price: | 0.9139 |
Amount MOH Pays: | 0.9139 |
Coverage Status: |
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