DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
AA-Levocarb CR
(LEVODOPA & CARBIDOPA)
200mg & 50mg CR Tab
DIN/PIN/NPN:
02245211
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Interchangeables:
YES
Manufacturer:
A A Pharma Inc.
Formulary Listing Date:
2004-07-20
Drug Benefit Price or Unit Price:
1.4282
Amount MOH Pays:
1.4282
Coverage Status:
Limited Use Product
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