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: |
|