DIN/PIN/NPN Detail |
28:00 CENTRAL NERVOUS SYSTEM DRUGS | |
28:16:04 PSYCHOTHERAPEUTIC AGENTS ANTIDEPRESSANTS |
Interchangeables: | YES |
Manufacturer: | Mint Pharmaceuticals Inc. |
Formulary Listing Date: | 2014-05-29 |
Drug Benefit Price or Unit Price: | 0.3250 |
Amount MOH Pays: | 0.3250 |
Coverage Status: |
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