DIN/PIN/NPN Detail

48:00 COUGH PREPARATIONS

48:04:00 ANTITUSSIVES

PMS-Hydrocodone (HYDROCODONE BITARTRATE)1mg/mL O/L

DIN/PIN/NPN:02324253

Interchangeables:

Manufacturer:

Pharmascience Inc.

Formulary Listing Date:

2012-02-29

Drug Benefit Price or Unit Price:

0.0570

Amount MOH Pays:

0.0570

Coverage Status:

General Benefit