DIN/PIN/NPN Detail |
24:00 CARDIOVASCULAR DRUGS | |
24:06:00 ANTILIPEMIC DRUGS | LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Actavis Pharma Company |
Formulary Listing Date: | 2014-11-27 |
Drug Benefit Price or Unit Price: | 0.1811 |
Amount MOH Pays: | 0.1811 |
Coverage Status: |
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