DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Lumigan (Not a Benefit) (BIMATOPROST)0.03% Oph Sol

DIN/PIN/NPN:02245860

Interchangeables:

Manufacturer:

Formulary Listing Date:

2004-04-06

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status:

Not a Benefit