DIN/PIN/NPN Detail |
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84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | Therapeutic Note(s) |
84:04:08 ANTI-INFECTIVES FUNGICIDES |
Interchangeables: | NO |
Manufacturer: | Bayer Inc., Consumer Care Division |
Formulary Listing Date: | 2007-01-02 |
Drug Benefit Price or Unit Price: | 12.0800 |
Amount MOH Pays: | 12.0800 |
Coverage Status: |
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