DIN/PIN/NPN Detail |
84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | Therapeutic Note(s) |
84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS | LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Dr. Reddy's Laboratories Inc. |
Formulary Listing Date: | 2021-07-30 |
Drug Benefit Price or Unit Price: | 16.9868 |
Amount MOH Pays: | 16.9868 |
Coverage Status: |
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