DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

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

Cosopt (DORZOLAMIDE HCL & TIMOLOL MALEATE)2% & 0.5% Oph Sol

DIN/PIN/NPN:02240113

Interchangeables:

Manufacturer:

Formulary Listing Date:

2000-01-17

Drug Benefit Price or Unit Price:

9.3890

Amount MOH Pays:

2.0951

Coverage Status: