DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Simbrinza (BRINZOLAMIDE & BRIMONIDINE TARTRATE)1.0% & 0.2% Oph Susp-10mL Pk

DIN/PIN/NPN:02435411

Interchangeables:

Manufacturer:

Formulary Listing Date:

2015-10-29

Drug Benefit Price or Unit Price:

50.6900

Amount MOH Pays:

50.6900

Coverage Status: