DIN/PIN/NPN Detail |
28:00 CENTRAL NERVOUS SYSTEM DRUGS | |
28:12:00 ANTICONVULSANTS | LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Jamp Pharma Corporation |
Formulary Listing Date: | 2013-06-27 |
Drug Benefit Price or Unit Price: | 0.3911 |
Amount MOH Pays: | 0.3911 |
Coverage Status: |
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