DIN/PIN/NPN Detail |
08:00 ANTI-INFECTIVE AGENTS | |
08:12:04 ANTIBIOTICS ANTIFUNGALS |
Interchangeables: | YES |
Manufacturer: | Mint Pharmaceuticals Inc. |
Formulary Listing Date: | 2017-07-31 |
Drug Benefit Price or Unit Price: | 3.9270 |
Amount MOH Pays: | 3.9270 |
Coverage Status: |
|