DIN/PIN/NPN Detail |
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| 52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS | |
| 52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS | LU Criteria Text |
Jamp-Latanoprost/Timolol (LATANOPROST & TIMOLOL MALEATE)50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk
DIN/PIN/NPN:02453770
| Interchangeables: | YES |
| Manufacturer: | Jamp Pharma Corporation |
| Formulary Listing Date: | 2020-03-31 |
| Drug Benefit Price or Unit Price: | 11.0700 |
| Amount MOH Pays: | 11.0670 |
| Coverage Status: |
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