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: | 83.9105 |
Amount MOH Pays: | 83.9105 |
Coverage Status: |
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