DIN/PIN/NPN Detail
84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS
84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS
Finacea
(AZELAIC ACID)
15% Top Gel
DIN/PIN/NPN:
02270811
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Interchangeables:
NO
Manufacturer:
Leo Pharma Inc.
Formulary Listing Date:
2011-09-15
Drug Benefit Price or Unit Price:
0.8566
Amount MOH Pays:
0.8566
Coverage Status:
General Benefit
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