DIN/PIN/NPN Detail

84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS

84:04:04 ANTI-INFECTIVES ANTIBIOTICS

BenzaClin Topical Gel (CLINDAMYCIN PHOSPHATE & BENZOYL PEROXIDE)1% & 5% Top Gel

DIN/PIN/NPN:02248472

Interchangeables:

Manufacturer:

Formulary Listing Date:

2006-01-12

Drug Benefit Price or Unit Price:

1.2873

Amount MOH Pays:

0.7422

Coverage Status: