DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

Mint-Levocarb (LEVODOPA & CARBIDOPA)250mg & 25mg Tab

DIN/PIN/NPN:02457970

Interchangeables:

Manufacturer:

Mint Pharmaceuticals Inc.

Formulary Listing Date:

2017-02-28

Drug Benefit Price or Unit Price:

0.2466

Amount MOH Pays:

0.2466

Coverage Status:

General Benefit