DIN/PIN/NPN Detail |
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| 52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS | |
| 52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS | LU Criteria Text |
Apo-Brimonidine-Timop (BRIMONIDINE TARTRATE & TIMOLOL MALEATE)0.2% & 0.5% Oph Sol-10mL Pk
DIN/PIN/NPN:02375311
| Interchangeables: | YES |
| Manufacturer: | Apotex Inc. |
| Formulary Listing Date: | 2022-12-21 |
| Drug Benefit Price or Unit Price: | 23.2900 |
| Amount MOH Pays: | 23.2900 |
| Coverage Status: |
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