DIN/PIN/NPN Detail
68:00 HORMONES AND SUBSTITUTES
68:04:00 CORTICOSTEROIDS
Omnaris
(CICLESONIDE)
50mcg/Actuation Metered Dose Nas Sp-120 Dose Pk
DIN/PIN/NPN:
02303671
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Interchangeables:
NO
Manufacturer:
Covis Pharma GmbH
Formulary Listing Date:
2009-09-30
Drug Benefit Price or Unit Price:
31.2444
Amount MOH Pays:
31.2444
Coverage Status:
General Benefit
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