DIN/PIN/NPN Detail |
|
| 56:00 GASTROINTESTINAL DRUGS | |
| 56:40:00 MISCELLANEOUS G.I. DRUGS | LU Criteria Text |
AA-LansoprazoleAmoxicillinClarithromycin (LANSOPRAZOLE & CLARITHROMYCIN & AMOXICILLIN)30mg & 500mg & 500mg Tab/Cap Pk
DIN/PIN/NPN:02470780
| Interchangeables: | YES |
| Manufacturer: | A A Pharma Inc. |
| Formulary Listing Date: | 2018-09-27 |
| Drug Benefit Price or Unit Price: | 67.9100 |
| Amount MOH Pays: | 67.9100 |
| Coverage Status: |
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