DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Azarga (BRINZOLAMIDE & TIMOLOL MALEATE)1% & 0.5% Oph Susp-5mL Pk

DIN/PIN/NPN:02331624

Interchangeables:

Manufacturer:

Formulary Listing Date:

2010-06-14

Drug Benefit Price or Unit Price:

20.4000

Amount MOH Pays:

20.4000

Coverage Status: