DIN/PIN/NPN Detail |
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DIN/PIN/NPN Detail |
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| 56:00 GASTROINTESTINAL DRUGS | |
| 56:22:00 ANTIEMETICS AND ANTINAUSEANTS | LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | Accel Pharma Inc. |
| Formulary Listing Date: | 2019-12-20 |
| Drug Benefit Price or Unit Price: | 2.5450 |
| Amount MOH Pays: | 2.5450 |
| Coverage Status: |
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