DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:40:00 MISCELLANEOUS G.I. DRUGS

Mezera (5-AMINOSALICYLIC ACID)1g/Actuation 14 Actuation-Foam Enema Canister Pk

DIN/PIN/NPN:02474026

Interchangeables:

Manufacturer:

Formulary Listing Date:

2020-05-29

Drug Benefit Price or Unit Price:

101.8220

Amount MOH Pays:

101.8220

Coverage Status: