DIN/PIN/NPN Detail |
84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | |
84:04:04 ANTI-INFECTIVES ANTIBIOTICS |
Interchangeables: | YES |
Manufacturer: | Stiefel Canada Inc. |
Formulary Listing Date: | 2003-04-16 |
Drug Benefit Price or Unit Price: | 0.7500 |
Amount MOH Pays: | 0.6857 |
Coverage Status: |
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