DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:20:00 PLASMODICIDES (ANTIMALARIALS)

Mint-Hydroxychloroquine (HYDROXYCHLOROQUINE SULFATE)200mg Tab

DIN/PIN/NPN:02424991

Interchangeables:

Manufacturer:

Mint Pharmaceuticals Inc.

Formulary Listing Date:

2016-04-29

Drug Benefit Price or Unit Price:

0.1576

Amount MOH Pays:

0.1576

Coverage Status:

General Benefit