DIN/PIN/NPN Detail |
28:00 CENTRAL NERVOUS SYSTEM DRUGS | |
28:16:04 PSYCHOTHERAPEUTIC AGENTS ANTIDEPRESSANTS |
Interchangeables: | YES |
Manufacturer: | Laboratoire Riva Inc. |
Formulary Listing Date: | 2021-08-31 |
Drug Benefit Price or Unit Price: | 0.1332 |
Amount MOH Pays: | 0.1332 |
Coverage Status: |
|