DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
AA-Levocarb CR
(LEVODOPA & CARBIDOPA)
100mg & 25mg CR Tab
DIN/PIN/NPN:
02272873
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Interchangeables:
YES
Manufacturer:
A A Pharma Inc.
Formulary Listing Date:
2009-08-18
Drug Benefit Price or Unit Price:
0.7974
Amount MOH Pays:
0.7974
Coverage Status:
Limited Use Product
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