DIN/PIN/NPN Detail |
|
| 68:00 HORMONES AND SUBSTITUTES | |
| 68:04:00 CORTICOSTEROIDS |
| Interchangeables: | NO |
| Manufacturer: | Graceway Pharmaceuticals |
| Formulary Listing Date: | 2001-03-07 |
| Drug Benefit Price or Unit Price: | 43.0469 |
| Amount MOH Pays: | 43.0469 |
| Coverage Status: |
|