DIN/PIN/NPN Detail |
84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | |
84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS | LU Criteria Text |
Interchangeables: | NO |
Manufacturer: | Valeant Canada Ltd. |
Formulary Listing Date: | 2004-04-06 |
Drug Benefit Price or Unit Price: | 2.9052 |
Amount MOH Pays: | 2.9052 |
Coverage Status: |
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