DIN/PIN/NPN Detail |
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DIN/PIN/NPN Detail |
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| 24:00 CARDIOVASCULAR DRUGS | |
| 24:06:00 ANTILIPEMIC DRUGS | LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | Mantra Pharma Inc. |
| Formulary Listing Date: | 2021-10-29 |
| Drug Benefit Price or Unit Price: | 0.1811 |
| Amount MOH Pays: | 0.1811 |
| Coverage Status: |
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