DIN/PIN/NPN Detail |
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84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | Therapeutic Note(s) |
84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS |
Interchangeables: | NO |
Manufacturer: | Cipher Pharmaceuticals Inc. |
Formulary Listing Date: | 2014-02-27 |
Drug Benefit Price or Unit Price: | 1.5134 |
Amount MOH Pays: | 1.5134 |
Coverage Status: |
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