DIN/PIN/NPN Detail |
|
| 12:00 AUTONOMIC AGENTS | |
| 12:08:00 PARASYMPATHOLYTIC (CHOLINERGIC BLOCKING) AGENTS | LU Criteria Text |
Scopolamine Hydrobromide Injection (SCOPOLAMINE HYDROBROMIDE)0.4mg/mL Inj Sol (Preservative Free)
DIN/PIN/NPN:02242810
| Interchangeables: | YES |
| Manufacturer: | Omega Laboratories Ltd. |
| Formulary Listing Date: | 2011-05-19 |
| Drug Benefit Price or Unit Price: | 6.3800 |
| Amount MOH Pays: | 6.3800 |
| Coverage Status: |
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