DIN/PIN/NPN Detail |
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84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | Therapeutic Note(s) |
84:06:00 ANTI-INFLAMMATORY |
Enstilar (CALCIPOTRIOL & BETAMETHASONE DIPROPIONATE)50mcg/g & 0.5mg/g Top Aero Foam
DIN/PIN/NPN:02457393
Interchangeables: | NO |
Manufacturer: | Leo Pharma Inc. |
Formulary Listing Date: | 2018-10-31 |
Drug Benefit Price or Unit Price: | 1.6412 |
Amount MOH Pays: | 1.6412 |
Coverage Status: |
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