DIN/PIN/NPN Detail

88:00 VITAMINS

88:16:00 VITAMIN D

Calcitriol Injection USP (CALCITRIOL)1mcg/mL Inj Sol Amp-1mL Pk

DIN/PIN/NPN:02399334

Interchangeables:

Manufacturer:

Formulary Listing Date:

2016-06-29

Drug Benefit Price or Unit Price:

9.5132

Amount MOH Pays:

9.5132

Coverage Status:

Off-Formulary Interchangeable
Exceptional Access Program Product