DIN/PIN/NPN Detail

88:00 VITAMINS

88:16:00 VITAMIN D

One-Alpha Drops (ALFACALCIDOL)2mcg/mL Oral Drops

DIN/PIN/NPN:02240329

Interchangeables:

NO

Manufacturer:

Leo Pharma Inc.

Formulary Listing Date:

2019-10-31

Drug Benefit Price or Unit Price:

7.5526

Amount MOH Pays:

7.5526

Coverage Status:

General Benefit