DIN/PIN/NPN Detail |
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08:00 ANTI-INFECTIVE AGENTS | |
08:18:00 ANTIVIRALS | LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Cheplapharm Arzneimittel GmbH |
Formulary Listing Date: | 2003-04-16 |
Drug Benefit Price or Unit Price: | 28.4003 |
Amount MOH Pays: | 5.8553 |
Coverage Status: |
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