DIN/PIN/NPN Detail

40:00 ELECTROLYTIC, CALORIC AND WATER BALANCE

40:12:00 REPLACEMENT AGENTS

JampLyte (PEG-ELECTROLYTES) Pd-4L Pk

DIN/PIN/NPN:02378329

Interchangeables:

Manufacturer:

Jamp Pharma Corporation

Formulary Listing Date:

2026-06-30

Drug Benefit Price or Unit Price:

16.4640

Amount MOH Pays:

16.4640

Coverage Status:

General Benefit