DIN/PIN/NPN Detail |
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DIN/PIN/NPN Detail |
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| 08:00 ANTI-INFECTIVE AGENTS | |
| 08:40:00 MISCELLANEOUS ANTI-INFECTIVES | LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | Pharmascience Inc. |
| Formulary Listing Date: | 2014-03-27 |
| Drug Benefit Price or Unit Price: | 2.3110 |
| Amount MOH Pays: | 2.3110 |
| Coverage Status: |
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