DIN/PIN/NPN Detail |
28:00 CENTRAL NERVOUS SYSTEM DRUGS | Therapeutic Note(s) |
28:08:04 ANALGESICS NONSTEROIDAL ANTI-INFLAMMATORY AGENTS | LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Actavis Pharma Company |
Formulary Listing Date: | 2015-01-28 |
Drug Benefit Price or Unit Price: | 0.2558 |
Amount MOH Pays: | 0.2558 |
Coverage Status: |
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