DIN/PIN/NPN Detail |
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40:00 ELECTROLYTIC, CALORIC AND WATER BALANCE | |
40:20:00 CALORIC AGENTS | LU Criteria Text |
Interchangeables: | NO |
Manufacturer: | Baxter Corporation |
Formulary Listing Date: | 2020-06-30 |
Drug Benefit Price or Unit Price: | 25.0000 |
Amount MOH Pays: | 25.0000 |
Coverage Status: |
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