DIN/PIN/NPN Detail |
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DIN/PIN/NPN Detail |
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| 28:00 CENTRAL NERVOUS SYSTEM DRUGS | |
| 28:10:00 OPIATE ANTAGONISTS | LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | Sterinova Inc. |
| Formulary Listing Date: | 2017-08-30 |
| Drug Benefit Price or Unit Price: | 2.8075 |
| Amount MOH Pays: | 2.8075 |
| Coverage Status: |
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