DIN/PIN/NPN Detail
68:00 HORMONES AND SUBSTITUTES
68:28:00 PITUITARY AGENTS
DDAVP Melt
(DESMOPRESSIN ACETATE)
60mcg Orally Disintegrating Tab
DIN/PIN/NPN:
02284995
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Interchangeables:
NO
Manufacturer:
Ferring Inc.
Formulary Listing Date:
2007-06-06
Drug Benefit Price or Unit Price:
1.4556
Amount MOH Pays:
1.4556
Coverage Status:
General Benefit
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