DIN/PIN/NPN Detail |
|
| 12:00 AUTONOMIC AGENTS | Therapeutic Note(s) |
| 12:20:00 SKELETAL MUSCLE RELAXANTS |
| Interchangeables: | YES |
| Manufacturer: | Sterimax Inc. |
| Formulary Listing Date: | 2015-08-26 |
| Drug Benefit Price or Unit Price: | 177.2500 |
| Amount MOH Pays: | 177.2500 |
| Coverage Status: |
|