DIN/PIN/NPN Detail |
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40:00 ELECTROLYTIC, CALORIC AND WATER BALANCE | |
40:28:00 DIURETICS | LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Marcan Pharmaceuticals Inc. |
Formulary Listing Date: | 2018-11-29 |
Drug Benefit Price or Unit Price: | 0.1921 |
Amount MOH Pays: | 0.1921 |
Coverage Status: |
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