DIN/PIN/NPN Detail |
|
| 52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS | |
| 52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS |
| Interchangeables: | YES |
| Manufacturer: | Sterimax Inc. |
| Formulary Listing Date: | 2013-07-30 |
| Drug Benefit Price or Unit Price: | 21.1700 |
| Amount MOH Pays: | N/A |
| Coverage Status: |
|