DIN/PIN/NPN Detail |
24:00 CARDIOVASCULAR DRUGS | |
24:08:00 HYPOTENSIVE DRUGS (FOR DIURETICS SEE 40:28) | LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Mint Pharmaceuticals Inc. |
Formulary Listing Date: | 2018-06-29 |
Drug Benefit Price or Unit Price: | 1.3730 |
Amount MOH Pays: | 1.3730 |
Coverage Status: |
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