DIN/PIN/NPN Detail |
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DIN/PIN/NPN Detail |
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| 84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | |
| 84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS | LU Criteria Text |
| Interchangeables: | NO |
| Manufacturer: | Galderma Canada Inc |
| Formulary Listing Date: | 2011-08-04 |
| Drug Benefit Price or Unit Price: | 1.3625 |
| Amount MOH Pays: | 1.3625 |
| Coverage Status: |
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