DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES

Zamine 28 (DROSPIRENONE & ETHINYL ESTRADIOL)3.0mg & 0.03mg Tab-28 Pk

DIN/PIN/NPN:02410796

Interchangeables:

Manufacturer:

Formulary Listing Date:

2013-10-31

Drug Benefit Price or Unit Price:

6.2188

Amount MOH Pays:

6.2188

Coverage Status: