DIN/PIN/NPN Detail |
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DIN/PIN/NPN Detail |
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| 08:00 ANTI-INFECTIVE AGENTS | |
| 08:18:00 ANTIVIRALS | LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | GlaxoSmithKline Inc., GlaxoSmithKline Consumer Health Care |
| Formulary Listing Date: | 2012-11-27 |
| Drug Benefit Price or Unit Price: | 5.4765 |
| Amount MOH Pays: | 2.6154 |
| Coverage Status: |
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